摘要
目的深入探讨和分析非体外循环冠状动脉搭桥术在老年冠心病患者中的临床治疗效果。方法选取2010年1月-2012年12月期间，308例在我科实施冠状动脉旁路移植术（CABG）的老年冠心病患者，按照手术方式分为体外循环组（CCABG）32例和非体外循环组（OPCABG）276例。比较分析两组患者冠状动脉旁路移植术治疗效果。结果与体外循环组相比，非体外循环组30天内死亡率、血管搭桥数、二次开胸率、急性肾衰发生率、呼吸衰竭发生率、新发心房颤动率、输血量、脑梗死发生率以及肺部感染发生率均明显降低，且呼吸机使用时间、气管插管时间以及住院时间等明显缩短，差异有显著性（P〈0．05）。结论非体外循环冠状动脉搭桥术能够有效提高老年患者术后效果，降低死亡率和并发症发生率，可作为老年冠心病患者外科治疗的首选方法而进一步推广应用。
Aim To probe into clinical application value of off-pump coronary artery bypass grafting（OPCABG） in elderly patients with coronary heart disease. Methods Selected from January 2010 to December 2012, 308 elderly patients with coronary heart disease were treated with coronary artery bypass grafting （CABG） in our department. According to the surgical approach, the patients were divided into on-pump CABG group （32 cases） and off-pump CABG group （276 cases）. The therapeutic effects of the patients with CABG in two groups were compared and analysed. Results Compared with on-pump CABG group, the mortality in 30 days, number of bypass vessels, rate of reoperation, incidence of acute renal failure, respiratory failure and new onset atrial fibrillation, blood transfusion, incidence of cerebral infarction and pulmonary infection were significantly reduced in off-pump CABG group, and ventilator time, intubation time and sta- ying-inhospital time were significantly shorter, which were statistically significant （ P 〈 0. 05 ）. Conclusions Off pump CABG could improve the effect effectively, reduce the mortality and the incidence of complications for the elderly pa tients with coronary heart disease. It could be used as the preferred method of surgical treatment for elderly patients with coronary heart disease and promote the further application.
出处
《中国动脉硬化杂志》
CAS
CSCD
北大核心
2014年第1期72-74,共3页
Chinese Journal of Arteriosclerosis
关键词
非体外循环
冠状动脉搭桥术
老年人
冠心病
Off-pump
Coronary Artery Bypass Grafting
Elderly
Coronary Heart Disease
