成人心外科术前肺功能状况影响总住院天数

Analysis of impact factors of length of hospital stay in adult cardiac surgery department

目的探讨成人心外科患者术前状况对总住院天数的影响。方法回顾性分析成人心外科219例心脏手术病例。探讨研究对象性别、年龄、体质量指数、高血压病、糖尿病、脑血管病、慢性阻塞性肺疾病、肺通气功能、肺弥散功能、左心房内径、右心房内径、右心室内径、左心室舒张末内径、左心室舒张末容积、左心室搏出量、左心室射血分数、左心室内径缩短率、医疗保险付费方式对成人心外手术患者总住院天数的影响。结果术前肺通气功能障碍、和(或)弥散功能减低的患者总住院天数更长(P<0.05)。结论术前调整肺功能状态,可缩短总住院天数。

Objective To investigate the impact factors of the length of hospital stay in adult cardiac surgery department. Methods Retrospectively analyzed 219 cardiac surgery patients who performed pre - operation pulmonary function tests from January 1st to June 30th in 2015. Investigated the research factors which may effect on the length of hospital stay in- cluding sex, age, body mass index, hypertension, diabetes mellitus, cerebral vascular disease, chronic obstructive pulmo- nary disease, pulmonary ventilation, pulmonary diffusion, left atrial dimension, right atrial dimension, right ventricular di- mension, left ventrieular end -diastolic dimension, left ventricular end -diastolic volume, left ventricular stroke volume, left ventricular ejection fraction, left ventricular fractional shortening and medical insurance. Results The patients who had pulmonary ventilation dysfunction, and/or pulmonary diffuse dysfunction would had longer length of hospital stay. Conclusion Improving pro - operation pulmonary function help to shorten the length of hospital stay.