摘要
目的 基于输血角度分析主动脉夹层A型手术患者的预后情况及相关影响因素,为临床提供参考。方法 回顾199例主动脉夹层A型手术患者的临床资料,应用单因素分析及多因素Logistic回归分析患者预后不良的相关因素。结果 199例主动脉夹层A型患者中159例预后良好,40例预后不良,预后不良患者占比20.1%。单因素分析显示,主动脉夹层A型患者预后不良与围术期输注红细胞量、围术期输注血小板量、住院时长有关(均P<0.05);多元Logistic回归分析显示,围术期红细胞输注量是患者预后不良的独立危险因素,住院天数是患者预后不良的独立保护因素,均P<0.001。结论 围术期输注过多红细胞会提高主动脉夹层A型患者预后不良的风险,适当延长住院时长有助于避免预后不良的情况发生。
Objective To analyze the prognosis and related factors influencing patients with Type A aortic dissection from the perspective of blood transfusion,providing clinical references.Methods The clinical data of 199 patients who underwent type A surgery for aortic coarctation were retrospectively analysed.Univariate analysis and multifactorial logistic regression were used to analyse the factors associated with the patients'poor prognosis.Results Out of the 199 patients diagnosed with aortic coarctation type A,159 had a good prognosis,while 40 had a poor prognosis,resulting in a proportion of 20.1%of patients with a poor prognosis.According to the univariate analysis,the poor prognosis of patients with aortic coarctation type A was associated with the quantity of perioperative red blood cell transfusion,the amount of perioperative platelet transfusion,and the length of hospital stay(all P<0.05).A multivariate logistic regression analysis revealed that the amount of perioperative red blood cell transfusion was an independent risk factor for poor patient prognosis(P<0.001).Additionally,the number of days spent in the hospital was found to be an independent protective factor for poor patient prognosis(P<0.001).Conclusions Transfusing excessive red blood cells during perioperative care increases the risk of poor prognosis in patients with aortic coarctation type A.Prolonging the length of hospital stay can be an effective measure to avoid poor prognosis.
作者
粟昭隐
张红良
林奕丰
康巍瀚
潘毅
夏黑旦·木塔力甫
吴国君
刘瑶
芦帅
郑昕
SU Zhaoyin;ZHANG Hongliang;LIN Yifeng;KANG Weihan;PAN Yi;Xiaheidan Mutalifu;WU Guojun;LIU Yao;LU Shuai;ZHENG Xin(The First School of Clinical Medicine,Lanzhou University,Lanzhou 730000,China;Blood Transfusion Department,The First Hospital of Lanzhou University,Lanzhou 730000,China;The Second school of Clinical Medicine,Lanzhou University,Lanzhou 730000,China)
出处
《健康研究》
CAS
2024年第1期86-89,共4页
Health Research
基金
兰州大学2022年大学生创新创业行动计划(20220060178)。
关键词
输血
主动脉夹层A型
预后
影响因素
transfusion
type A aortic dissection
prognosis
influencing factors
