CAJ | 학술논문

目的：探讨成人患者体外循环下心脏手术围术期并发症发生的相关因素。方法收集120例成人患者行体外循环下心脏手术的临床资料，采用单因素分析、多因素Logistic回归分析与围术期并发症发生的相关影响因素。结果(1)患者手术死亡率为1.7%(2/120)，并发症发生率为31.7%(38/120)；(2)发生与未发生并发症两组患者在术前吸烟、伴发高血糖、体外循环时间≥2 h、主动脉阻断时间≥90 min、输血量≥2000 ml共5项指标比较差异均有统计学意义(P<0.05)；(3)多因素Logistic回归分析显示，术前吸烟、伴发高血糖、体外循环时间≥2 h、输血量≥2000 ml是围术期发生并发症的危险因素(OR>1，P<0.05)。结论患者术前吸烟、伴发高血糖、术中体外循环时间≥2 h以及输血量≥2000 ml是成人行体外循环下心脏手术围术期并发症发生的危险因素。
목적：탐토성인환자체외순배하심장수술위술기병발증발생적상관인소。방법수집120례성인환자행체외순배하심장수술적림상자료，채용단인소분석、다인소Logistic회귀분석여위술기병발증발생적상관영향인소。결과(1)환자수술사망솔위1.7%(2/120)，병발증발생솔위31.7%(38/120)；(2)발생여미발생병발증량조환자재술전흡연、반발고혈당、체외순배시간≥2 h、주동맥조단시간≥90 min、수혈량≥2000 ml공5항지표비교차이균유통계학의의(P<0.05)；(3)다인소Logistic회귀분석현시，술전흡연、반발고혈당、체외순배시간≥2 h、수혈량≥2000 ml시위술기발생병발증적위험인소(OR>1，P<0.05)。결론환자술전흡연、반발고혈당、술중체외순배시간≥2 h이급수혈량≥2000 ml시성인행체외순배하심장수술위술기병발증발생적위험인소。
Objective To explore the related factors for complications during the perioperative period in adult patients after cardiac surgery with extracorporeal circulation. Methods The clinical data of 120 adult patients undergo-ing cardiac surgery with extracorporeal circulation were collected. The related factors of complications during the peri-operative period were analyzed by univariate analysis and multivariate Logistic regression analysis. Results (1) The operative mortality rate was 1.7% (2/120), and the postoperative complication rate was 31.7% (38/120); (2) There were significant differences between the group with complications and the group without complications in smoking, hyperglycemia, time of cardiopulmonary bypass≥2 h, time of aortic cross clamping≥90 min, and blood transfusion volume≥2 000 ml (P<0.05);(3) Multivariate Logistic regression analysis revealed that the risk factors for complica-tions in adult patients after cardiac surgery with extracorporeal circulation were smoking, hyperglycemia, time of car-diopulmonary bypass≥2 h, and blood transfusion volume≥2 000 ml during the perioperative period (OR>1, P<0.05). Conclusion The smoking and hyperglycemia before operation, time of cardiopulmonary bypass≥2 h and blood transfusion volume≥2 000 ml during operation are significant risk factors for complications in adult patients after car-diac surgery with extracorporeal circulation during the perioperative period.