CAJ | 학술논문

目的：探讨Stanford B型主动脉夹层（ADA ）患者围术期的各种危险因素。方法选取2009年6月至2012年6月重庆市丰都县人民医院收治的100例Stanford B型ADA患者，分析其临床特征及危险因素。结果 ADA患者的临床特征与多个因素有关，采用Logistic多元回归分析，结果显示女性患者的死亡危险是男性的4．6倍，其中舒张压每升高1 mm Hg ，患者死亡率减少6％，被认为是独立的预后保护因素。结论 ADA患者的临床特征与多个因素密切相关，其中独立危险因素是女性，预后的独立保护因素是舒张压水平。
목적：탐토Stanford B형주동맥협층（ADA ）환자위술기적각충위험인소。방법선취2009년6월지2012년6월중경시봉도현인민의원수치적100례Stanford B형ADA환자，분석기림상특정급위험인소。결과 ADA환자적림상특정여다개인소유관，채용Logistic다원회귀분석，결과현시녀성환자적사망위험시남성적4．6배，기중서장압매승고1 mm Hg ，환자사망솔감소6％，피인위시독립적예후보호인소。결론 ADA환자적림상특정여다개인소밀절상관，기중독립위험인소시녀성，예후적독립보호인소시서장압수평。
Objective To explore the various risk factors of the Stanford type B aortic dissection(ADA) patients in perioperation period .Methods Data of 100 Stanford type B ADA patients was collected from June 2009 to June 2012 in our hospital ,and their clinical characteristics and risk factors were analyzed .Results The clinical features of patients with ADA were related to many fac‐tors .Logistic regression analysis showed that the death risk of female was 4 .5 times larger than the male .Diastolic pressure was an independent protective factor of prognosis ,and 1 mm Hg increase in diastolic pressure resulted in 6% mortality decrease . Conclusion The clinical features of patients with ADA is related to many factors ,among which the gender is an independent one;level of diastolic blood pressure is independent protective factor of prognosis .