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目的探讨原发性肝癌介入治疗术中血管迷走神经反射相关因素分析及处理措施。方法选取2011年1月—2014年5月收治的140例原发性肝癌患者作为研究对象,患者均接受介入治疗。计数资料采用χ2检验,采用多因素Logistic回归分析迷走神经反射的影响因素,P<0.05为差异有统计学意义。结果疼痛(OR=20.950,95%CI为5.499~79.818)、年龄(OR=6.716,95%CI为2.049~22.014)、胆心综合症(OR=2.808,95%CI为1.105~7.131)和过度压迫止血(OR=1.683,95%CI为1.323~2.382)是导致血管迷走神经反射的危险因素。结论疼痛、过度压迫止血、年龄、胆心综合症是导致血管迷走神经反射的主要原因,应采取适当措施,以预防为主,防治结合,提高重视,避免和降低血管迷走神经反射对患者生命安全产生影响。
Objective To investigate the related factors and treatment of vasovagal reflex in interventional treatment of primary liver cancer. Methods A total of 140 patients with primary liver cancer who were admitted to our hospital from January 2011 to May 2014 were enrolled in this study. All patients received interventional therapy. Counting data using χ2 test, using multivariate Logistic regression analysis of vagal reflex factors, P <0.05 for the difference was statistically significant. (OR = 20.950, 95% CI: 5.499-79.818), age (OR = 6.716, 95% CI 2.049-22.014), and gallbladder syndrome (OR = 2.808, 95% CI 1.105-7.131) Occlusion hemostasis (OR = 1.683, 95% CI 1.323-2.382) was a risk factor for vasovagal reflex. Conclusions Pain and over-compression of hemostasis, age, and gallbladder syndrome are the main causes of vasovagal reflex. Vital measures should be taken to prevent and reduce vasovagal reflex in patients with life-threatening effects .