肺癌手术后心房的危险因素:一个元分析
Jingyu Zhang1, Siyu Liu1, Jiayao Li2
1Department of Cardiology, Changhai Hospital, Naval Medical University, Shanghai, China.
Frontiers in cardiovascular medicine
|February 27, 2026
概括
高龄,男性性别,吸烟,高血压,高术后BNP,TNMII期肺癌和输血增加了肺癌手术后心房动 (AF) 的风险.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 在瘤学瘤学.
背景情况:
- 心房动 (AF) 是肺癌手术后的一个常见并发症.
- 确定手术后AF的危险因素对于患者管理至关重要.
研究的目的:
- 进行元分析,探索肺癌手术后心房动 (AF) 的潜在风险因素.
主要方法:
- 在2025年10月20日之前,对PubMed,Embase和Cochrane图书馆数据库进行了系统的搜索.
- 包括的研究涉及成人肺癌患者,报告有AF风险因素.
- 使用NOS评估研究质量,并使用Stata 15中的随机效应模型分析数据.
主要成果:
- 分析包括了13篇文章,涉及20701名患者.
- 术后AF的危险因素包括年龄>65 (OR=1.68),高术后BNP (OR=3.82),男性性别 (OR=1.82),吸烟 (OR=1.72),高血压 (OR=1.63),TNMII期肺癌 (OR=2.21),以及输血 (OR=3.74).
结论:
- 年龄超过65岁,男性性别,吸烟,高血压,术后BNP升高,TNMII阶段,以及术后输血与肺癌患者术后AF风险增加有关.
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