心血管疾病对老年结直肠癌患者手术效果和心血管并发症的影响

The Influence of Coexisted Cardiovascular Diseases on the Surgical Efficacy of Senior Colorectal Carcinoma,and on Cardiovascular Complication

为探究心血管疾病对老年结直肠癌患者手术效果和术后心血管并发症的影响,选取2015年7月至2016年7月在我院接受手术治疗的结直肠癌老年患者132例,据术前是否合并心血管疾病,将其分为试验组和对照组,试验组(71例)患者术前患有心血管疾病,对照组(61例)患者术前未患心血管疾病,比较2组患者术后心血管并发症发生情况、手术有效率和术后感染率。结果显示,试验组患者术后急性冠状动脉综合征、急性心肌梗死、心房纤颤、心律失常、心功能不全发病率分别为8.5%、18.3%、19.7%、14.1%、32.4%,对照组分别为1.6%、0、3.3%、4.9%、6.6%,2组比较差异具有统计学意义(P<0.05)。试验组患者手术总有效率和术后感染率分别为35.21%、16.90%,对照组分别为45.90%、18.03%,2组手术总有效率比较差异具有统计学意义(P <0.05),感染率比较差异无统计学意义(P>0.05)。结果表明,心血管疾病会增加老年结直肠癌患者术后的心血管并发症发生率、降低手术疗效。

To investigate the influence of coexisted cardiovascular diseases on the surgical effect of senior colorectal carcinoma and on cardiovascular complication,132 senior colorectal carcinoma patients who received surgery in author's hospital(2015-07-2016-07) were enrolled in this study,according to with or without preoperatively coexisted cardiovascular diseases divided into trial group(71 cases,with coexisted cardiovascular diseases) and control one(61 cases,without ones);then both groups' postoperative cardiovascular complication occurence status,the effective rate of surgery,and postoperative infection status were compared each other.As results,in trial group the incidence of acute coronary syndrome,acute myocardial infarction,atrial fibrillation,arrhythmia,and cardiac insufficaciancy had indidence of 8.5%,18.3%,19.7%,14.1% and 32.4%,resepectively,meanwhile in control group,according 1.6%,0.0%,3.3%,4.9% and6.6%,the difference were significant( P<0.05);in effective rate there was statistical difference between the two groups(35.21% vs 45.90%,P<0.05),but in infection rate no this difference( 16.90% vs 18.03 %,P>0.05).Results show that coexisted cardio vascular diseases could be increasing the incidence of complication in senior colorectal carcinoma patients and decreasing their surgical effective rate.