摘要
Abstract
Objective To analyze the risk factors of intraoperative hypotension in elderly patients un-dergoing thoracoscopic radical esophagectomy.Methods A total of 79 elderly esophageal cancer patients with intraoperative hypotension were retrospectively selected from the hospital between November 2021 and March 2024 as the study group,while 281 elderly esophageal cancer patients without intraoperative hypotension were included as the control group during the same period.The general data of the two groups were compared to analyze the risk factors of intraoperative hypotension in elderly patients with esophageal cancer who under-went thoracoscopic radical resection of esophageal cancer.A predictive model was constructed and evaluated.Results There was no statistically significant difference between the two groups in terms of gender,age,body mass index,combined diabetes,ASA grade,anemia,smoking history,drinking history,and operation time(P>0.05).There were statistically significant differences between the two groups in terms of the time from anes-thesia induction to surgery,combined hypertension,intraoperative fluid infusion rate,water deprivation time before anesthesia,and preoperative serum albumin level(P<0.05).The time from anesthesia induction to surgery being more than 30 minutes,combined with hypertension,the intraoperative fluid infusion rate being less than 6 mL/(kg·h),the water deprivation time before anesthesia being more than 14 hours,and the pre-operative serum albumin level being less than 35 g/L are independent risk factors for intraoperative hypoten-sion in elderly patients with esophageal cancer undergoing thoracoscopic radical resection of esophageal cancer(P<0.05).The constructed prediction model has a good goodness of fit.Conclusion The risk factors of intr-aoperative hypotension in elderly patients with esophageal cancer undergoing thoracoscopic radical esophagec-tomy include the time from anesthesia induction to operation more than 30 minutes,concomitant hyperten-sion,the intraoperative fluid infusion rate less than 6 mL/(kg·h),the time of water prohibition before anes-thesia more than 14 hours,and the preoperative serum albumin level less than 35 g/L.关键词
老年食管癌/胸腔镜食管癌根治术/术中低血压/危险因素Key words
Esophageal cancer in the elderly/Thoracoscopic radical esophagectomy/Intraoperative hypotension/Risk factors分类
医药卫生
