摘要
目的探讨主动脉内球囊反搏(IABP)辅助下非体外循环冠状动脉搭桥手术(OPCABG)治疗重症冠心病的效果。方法选取2018年6月至2019年4月65例重症冠心病患者,将其分为两组。对照组35例,采取OPCABG治疗;观察组30例,在IABP辅助下进行OPCABG治疗。比较两组的治疗相关指标,心功能及并发症发生率、病死率。结果观察组患者的呼吸支持、手术及ICU住院时间均明显短于对照组,并发症发生率、病死率低于对照组(P<0.05)。治疗后3个月,观察组患者的左室射血分数明显高于对照组,左心室舒张末期内径明显低于对照组(P<0.05)。结论对重症冠心病在IABP辅助下进行OPCABG治疗可缩短治疗时间,改善患者心功能,提高手术安全性。
Objective To investigate the effect of intra-aortic balloon counterpulsation(IABP)-assisted off-pump coronary artery bypass surgery(OPCABG) on severe coronary heart disease. Methods Sixty-five patients with severe coronary heart disease from June 2018 to April 2019 were divided into two groups. The 35 patients in the control group were treated with OPCABG;and the 30 patients in the observation group were treated with OPCABG with the aid of IABP. The treatment-related indicators, cardiac function, incidence of complications and mortality were compared between the two groups. Results The respiratory support, surgery, and ICU stay in the observation group were significantly shorter than those in the control group. The complication rate and mortality was lower than those in the control group(P<0.05).Three months after treatment, the left ventricular ejection fraction in the observation group was significantly higher than that in the control group, and the left ventricular end-diastolic diameter was significantly lower than that in the control group(P<0.05). Conclusions OPCABG treatment with IABP in severe coronary heart disease can shorten the treatment time, improve the heart function of patients and improve the safety of surgery.
作者
陈现杰
王圣
陆国庆
程兆云
葛振伟
刘前进
Chen Xianjie;Wang Sheng;Lu Guoqing;Cheng Zhaoyun;Ge Zhenwei;Liu Qiaryin(Department of Cardiac Vascular Surgery,Henan Provincial People's Hospital,Huwai HuazhongCardiovascular Hospital,Zhengzhou 450000,China)
出处
《临床医学》
CAS
2019年第10期10-12,共3页
Clinical Medicine
关键词
冠状动脉搭桥
球囊反搏
冠心病
Coronary artery bypass
Balloon counterpulsation
Coronary heart disease
