摘要:
目的 分析A型主动脉夹层术后患者重症监护室(ICU)停留时间延长的危险因素.方法 选取A型主动脉夹层行手术治疗的361例患者.根据患者术后ICU停留时间分为ICU停留时间延长组和ICU停留时间未延长组.先进行单因素分析,将单因素分析有意义的变量纳入Logistic回归进行多因素分析.结果 Logistic分析发现,吸烟、入院时收缩压、白细胞计数、血肌酐、低密度脂蛋白胆固醇、术前假腔内血栓形成、载脂蛋白A-I、术后呼吸机使用时间与术后ICU停留时间延长相关.结论 吸烟、入院时收缩压、白细胞计数、血肌酐及术后呼吸机使用时间是术后ICU停留时间延长的独立危险因素,低密度脂蛋白胆固醇、载脂蛋白A-I、术前假腔内血栓形成是术后ICU停留时间延长的保护性因素.
Abstract:
Objective To analyze the risk factors of prolonged residence time in ICU after surgery for Standford type A aortic dissection.Methods A total of 361 patients with surgery for Standford type A aortic dissection were selected.They were divided into prolonged residence time in ICU group and normal residence time in ICU group.Single factor analysis was used at first,and the significant factors analyzed in single factor analysis were analyzed by Multi factor analysis.Results Logistic regression analysis showed that smoking history,systolic blood pressure,white blood cell count,serum creatinine,low density lipoprotein cholesterol,thrombosis in the false lumen,apolipoprotein A-I,ventilator time were associated with prolonged residence time in ICU.Conclusion Smoking history,systolic blood pressure,white blood cell count,serum creatinine and ventilator time are the independent risk factors for prolonged residence time in ICU,and low density lipoprotein cholesterol,apolipoprotein A-I,thrombosis in the false lumen are the protective factors for prolonged residence time in ICU.
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