胸主动脉腔内修复术治疗急性B型主动脉夹层患者发生围手术期并发症的影响因素分析

Analysis of influencing factor on perioperative complications in patients with acute type B aortic dissection treated with thoracic aortic endovascular repair surgery

目的 探讨胸主动脉腔内修复术(TEVAR)治疗急性B型主动脉夹层(ATBAD)患者发生围手术期并发症的相关因素。方法 收集2018年1月至2022年12月于承德医学院附属医院经TEVAR治疗的158例ATBAD患者的临床资料,按照围手术期并发症发生情况将其分为并发症组(n=31)与无并发症组(n=127),收集所有患者的性别、年龄、既往史、体重指数(BMI)、生命体征、并发症发生情况、实验室检查指标、预后营养指数(PNI)等,分析TEVAR治疗ATBAD患者发生围手术期并发症的影响因素。结果 两组患者年龄、BMI、脑梗死、白蛋白水平、PNI比较,差异均有统计学意义(P<0.05)。多因素分析结果显示,年龄、PNI均是TEVAR治疗ATBAD患者发生围手术期并发症的影响因素(P<0.05)。结论 年龄、PNI均是TEVAR治疗ATBAD患者发生围手术期并发症的影响因素,临床上应密切关注上述指标。

Objective To investigate the related factor of perioperative complications in patients with acute type B aortic dissection(ATBAD)treated by thoracic aortic endovascular repair(TEVAR).Method Clinical data of 158 ATBAD patients treated with TEVAR in the Affiliated Hospital of Chengde Medical College from January 2018 to December 2022 were collected,they were divided into complication group(n=31)and non-complication group(n=127)according to perioperative complications.Gender,age,past history,body mass index(BMI),vital signs,complications,laboratory indicators,and prognostic nutrition index(PNI)of all patients were collected to analyze the influencing factors of perioperative complications in ATBAD patients treated with TEVAR.Result The differences in age,BMI,cerebral infarction,albumin levels,and PNI between the two groups of patients were statistically significant(P<0.05).The results of multivariate analysis showed that age and PNI were both influencing factors for perioperative complications in TEVAR treated ATBAD patients (P<0.05). Conclusion Age and PNI are both influencing factors for perioperative complications in TEVAR treated ATBAD patients, and these indicators should be closely monitored in clinical practice.