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| 心率恢复在食管癌患者术后心肺系统并发症风险评估中的应用价值 |
| Application value of heart rate recovery in risk evaluation of postoperative cardiopulmonary complications in patients with esophagus cancer |
| 投稿时间：2015-12-17 |
| DOI：10.3969/j.issn.1000-0399.2016.05.009 |
| 中文关键词: 心率恢复 食管癌 并发症 |
| 英文关键词: Heart rate recovery Esophagus cancer Complications |
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| 中文摘要: |
| 目的 探讨心率恢复(HRR)在食管癌患者术后心肺系统并发症风险评估中的应用价值。方法 对2015年7月至2015年9月间收治并进行手术的103例食管癌患者术前进行6分钟步行试验并测定运动后1分钟HRR,将HRR>18次/分归为正常组,HRR≤18次/分归为异常组。术后心肺系统并发症是依据美国胸外科协会数据库规定的12种并发症情况。比较两组患者一般临床资料、术后心肺系统并发症及术后住院时间情况。结果 HRR正常组67例,HRR异常组36例,HRR异常组术后心肺系统并发症的发生率高于HRR正常组,差异有统计学意义(44.4% vs 22.4%),(P<0.05);HRR异常组术后住院时间长于HRR正常组,差异有统计学意义[(13.25±3.40)d vs(10.66±2.40)d,P<0.01]。结论 HRR异常提示出现术后心肺系统并发症的可能性较大。术前HRR可作为评估食管癌术后心肺系统并发症风险的预测指标。 |
| 英文摘要: |
| Objective To investigate the application value of heart rate recovery in the risk evaluation of postoperative cardiopulmonary complications in the patients with esophagus cancer. Methods 103 patients with esophagus carcinoma, hospitalized in our hospital between Jul 2015 and Sep 2015, underwent a 1-minute exam of heart rate recovery(HRR) after the 6-minute walk test before surgery. Patients with HRR of more than 18-beat per minute were enrolled in the normal HRR group, and the other patients were enrolled in the abnormal HRR group. Their postoperative cardiopulmonary complications were included in the 12 complications defined by the General Thoracic Surgery Database of American Association for Thoracic Surgery. The clinical data, postoperative cardiopulmonary complications and hospital stays between the two groups were compared. Results The incidence rate of postoperative cardiopulmonary complications in the abnormal HRR group of 36 cases was significantly higher than that in the normal HRR group of 67 cases(44.4% vs 22.4%, P<0.05). The postoperative hospitalization time in the abnormal HRR group was significantly longer than that in the normal HRR group(13.25±3.40 days vs 10.66±2.40 days, P<0.01). Conclusion Abnormal HRR in the patients with esophagus carcinoma might indicate the probability of postoperative cardiopulmonary complications. Results of HRR assessment before surgery could be used as a predictive index in the risk evaluation of postoperative cardiopulmonary complications of esophagus cancer. |
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