摘要
目的探讨非体外循环下心脏搭桥术治疗冠心病的临床效果。方法选择2015年6月～2017年6月在我院行心脏搭桥术的冠心病患者120例,随机分为对照组和观察组各60例,对照组实施体外循环下心脏搭桥术,观察组实施非体外循环心脏搭桥术,观察两组患者手术情况、肌酸激酶同工酶(CK-MB)、肌钙蛋白I(cTn-I)含量及并发症发生情况。结果观察组的手术时间、出血及输血量、呼吸机辅助时间及ICU入住时间和住院时间均少于对照组,且术后并发症发生率低于对照组,组间比较差异均有统计学意义(P<0.05)。观察组术后24h的CK-MB及cTn-I水平均低于对照组,差异均有统计学意义(P<0.05)。结论非体外循环下心脏搭桥术治疗冠心病对心肌的损伤小,患者术后恢复快,安全性高,应用效果显著。
Objective To investigate the clinical effect of non-extracorporeal circulation heart bypass surgery in the treatment of coronary heart disease.Methods From June2015to June2017,120cases with coronary heart disease in our hospital,were randomly divided into control group and observation group each60cases,control group to implement the heart bypass surgery under extracorporeal circulation,observation group to implement the non-extracorporeal circulation heart bypass surgery,observing two groups of patients with operation situation,creatine kinase isoenzyme(CK MB),troponin I(cTn I)content and complications.Results The operation time,amount of bleeding and transfusion,breathing machine auxiliary time,duration of ICU stay and hospital stay of observation group were less than the control group,and the postoperative complication rate is lower than the control group(P<0.05).After24h the observation group CK MB and cTn I levels are lower than the control group(P<0.05).Conclusion Non-extracorporeal circulation coronary artery bypass grafting has less damage to myocardium,rapid postoperative recovery and high safety.
作者
王栋
WANG Dong(Heart and lung department of Anyang district hospital,Anyang,Henan,455000,China)
出处
《蛇志》
2018年第4期624-625,636,共3页
Journal of Snake
关键词
冠心病
非体外循环
心脏搭桥术
心肌损伤
Coronary heart disease
Non-extracorporeal circulation
Heart bypass surgery
Myocardial injury
