摘要
目的:探讨重症冠心病患者非体外循环下冠状动脉旁路移植术(OPCAB)的可行性和优越性。方法:回顾性分析425例重症冠心病的冠状动脉旁路移植术临床资料。其中非体外循环下冠状动脉旁路移植术(OPCAB组)268例,占63.1%;常规体外循环下冠状动脉旁路移植术(CCABG组)157例。比较两组术后早期死亡率及合并症的发生情况。结果:OPCAB组搭桥(4.09±0.75)支/人,CCABG组搭桥(4.17±0.86)支/人(P>0.05)。两组新发心房纤颤、围术期心肌梗塞、肾功能不全、肺部并发症发生率差异无显著性(P>0.05)。与CCABG组比较,OPCAB组手术死亡率、呼吸机使用时间、ICU停留时间、术后输血量、二次开胸率、神经系统并发症发生率明显降低或减少(P<0.05～<0.01)。结论:非体外循环下冠状动脉旁路移植术在重症冠心病患者中安全可行,临床效果好。
Objective： To analyze the feasibility and the superiority of the off-pump coronary artery bypass grafting （OPCAB） in patients with severe coronary artery disease. Methods： A retrospective study was carried out in 425 cases with severe coronary artery disease underwent CABG, in which 268 cases （63. 1 %） underwent OPCAB and 157 cases underwent CCABG. The early post--operative mortality and complications of two groups were compared. Results： The number of bypass grafts was （4. 09±0. 75） in group OPCAB and （4.17±0.86） in group CCABG, showing no significant difference between two groups （P〉0. 05）. The early post-operative mortality of group OPCAB was significantly lower than that of group CCABG （P〈0. 05）. The time of intubation, ICU--stay, volume of transfusion, reopen and complication of central nervous system （CNS） of group OPCAB were significantly less than those of group CCABG （P〈0.05-〈0.01）. Conclusion： It is safe and feasible to perform OPCAB in patients with severe coronary artery disease.
出处
《心血管康复医学杂志》
CAS
2009年第5期460-462,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
