阻塞性睡眠呼吸暂停-呼吸暂停综合征和A型大动脉剖析的术后远部扩张之间的相关性:回顾性分析
Cong Cui1, Yuxin Chen1, Xia Gao1
1Cardiovascular Surgery Ward 8, Henan Province Chest Hospital, Chest Hospital of Zhengzhou University, Zhengzhou, China.
Journal of vascular surgery
|June 8, 2025
概括
睡眠呼吸暂停综合征是A型大动脉剖析手术后远端大动脉剖析扩张的重要预测因素. 睡眠呼吸暂停的手术前查可以改善患者风险分层和管理.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 睡眠医学 睡眠医学
背景情况:
- 甲型大动脉解剖的远端扩张是一种严重的术后并发症.
- 确定预测因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了研究外科修复后远端大动脉解剖扩张的预测因素.
- 评估手术前睡眠状态在这种并发症中的作用.
主要方法:
- 对450名接受A型大动脉解剖手术的患者进行了回顾性队列研究.
- 患者分为扩张 (n=152) 和非扩张 (n=298) 组.
- 统计分析包括t测试,曼-惠特尼U,奇平方,斯皮尔曼相关性和费尔斯逻辑回归.
主要成果:
- 扩展组显示出更高的打严重程度和明显更高的睡眠呼吸暂停综合征 (80.26%vs3.02%).
- 在扩张组中,需要靠近支架放置的手术内内泄漏更为频繁.
- 睡眠呼吸暂停综合征 (OR,10.939) 和其严重程度 (中度至严重的AHI≥15:OR,2.83;严重的AI≥10:OR,3.12) 是远部扩张的显著独立预测因素.
结论:
- 睡眠呼吸暂停综合征的存在和严重程度,由呼吸暂停-呼吸暂停指数表明,预测术后远端A型大动脉剖析扩张.
- 建议在手术前对睡眠呼吸暂停进行查,以对这些患者进行风险分层和风险管理.
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