摘要
目的观察体外循环及非体外循环下冠状动脉旁路移植术治疗冠心病的效果。方法选择该院2012年1月至2013年12月收治的160例行冠状动脉旁路移植术的冠心病患者,其中80例在体外循环下行冠状动脉旁路移植术(体外循环组),80例在非体外循环下行冠状动脉旁路移植术(非体外循环组),比较两组患者手术时间、术后住重症监护病房(ICU)时间、苏醒时间、输血量、住院费用、带管时间、搭桥数目以及并发症发生情况。结果非体外循环组患者手术时间、术后住ICU时间、苏醒时间明显短于体外循环组,输血量、住院费用少于体外循环组,差异均有统计学意义(P<0.05);两组带管时间、搭桥数目比较,差异均无统计学意义(P>0.05)。非体外循环组围术期心肌梗死、呼吸衰竭、肺部感染发生率明显低于体外循环组,差异均有统计学意义(P<0.05)。结论非体外循环下行冠状动脉旁路移植术治疗冠心病,患者术后恢复更快,安全性较好,住院费用较低,值得推广。
Objective To investigate the efficacy of on-pump coronary artery bypass grafting（on-pump CABG） and offpump coronary artery bypass graft（OPCABG） in treatment of coronary heart disease（CHD）. Methods Among the 160 CHD patients underwent CABG,who were received in the hospital from January 2012 to December 2013,80 cases adopted on-pump CABG（on-pump CABG group）,and the other 80 cases employed OPCABG（OPCABG group）. To compare the operative time,ICU stay time,awakening time,blood transfusion,hospitalization costs,intubation time,bypass number and complications of the two groups. Results The operative time,ICU stay time,awakening time of OPCABG group were significantly shorter than those of the on-pump CABG group,while the blood transfusion and hospitalization costs were less than those of the on-pump CABG group,and the differences had statistical significance（P〈0.05）;the differences of intubation time and bypass number between the two groups were not statistically significant（P〉0.05）;the incidence rates of myocardial infarction,respiratory failure and pulmonary infection during perioperative period of the OPCABG group were lower than those of the on-pump CABG group,and the difference had statistical significance（P〈0.05）. Conclusion The OPCABG for CHD has advantages of quicker recovery,better safety and lower hospitalization costs,so it is worthy of promoting in clinic.
出处
《现代医药卫生》
2014年第16期2427-2428,2430,共3页
Journal of Modern Medicine & Health
作者简介
周庆（1975-），男，湖南长沙人，本科，主要从事冠心病方面的研究；E-mail：513144165@qq．com。
