摘要
目的探讨血浆脑钠肽水平测定在老年心脏病患者腹腔镜直肠癌根治术围手术期的应用效果。方法选择2016年2月—2018年3月在我院进行腹腔镜直肠癌根治术的老年心脏病患者80例作为研究对象,根据手术之前血浆脑钠肽指标水平正常与否分为甲组与乙组。对两组患者各时间点血浆脑钠肽指标水平情况进行测定,并对两组并发症进行比较。结果两组患者腹腔镜CO_2气腹之后脑钠肽水平增高,停CO_2气腹之后脑钠肽水平高于手术前指标水平,延续到手术之后2天,差异具有统计学意义(P<0.05)。结论经血浆脑钠肽指标水平测定,能够有效的反应出患者手术前心功能状况,对手术后心脏危险事件预测评估有参考作用,能够有效判断治疗效果与预后。
Objective To explore the application effect of plasma n a t r i u r e t i c p e p t i d e i n t h e p e r i o p e r a t i v e p e r i o d o f l a p a r o s c o p i c r ad ical r es ectio n o f r ectal can cer in eld er ly p atien ts w ith h ear t disease. Methods Selection from February 2016 to March 2018 in our hospital in elderly patients with heart disease undergoing laparoscopic rectal cancer treated 80 cases as the research object, according to the index of plasma brain natriuretic peptide levels normal before surgery or not divided into the first division and group b. The levels of plasma natriuretic peptide were measured at each time point in the two groups of patients, and the complications of the two groups were compared. Results Two groups of patients after laparoscopic CO_2 pneumoperitoneum brain natriuretic peptide levels increased obviously, stop after CO_2 pneumoperitoneum brain natriuretic peptide levels higher than the level before the operation indexes, until two days after surgery, the difference statistically significant(P < 0.05). Conclusion The determination of plasma brain natriuretic peptide index level, can effectively reflect the patient before the operation condition of heart function, post-operative cardiac risk events forecast assessment has reference effect, can effectively determine treatment effect and prognosis.
引文
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