糖尿病患者非体外循环冠状动脉旁路移植围术期特点  

Peri-operative Features in Patient with Diabetes Mellitus During Coronary Artery Bypass Grafting

作　　者：林青[1] 秦巍[1] 陈丽[1] 武猛[1] 郝建潮[1] 

机构地区：[1]黑龙江省医院心血管外科,黑龙江哈尔滨150036

出　　处：《黑龙江医学》2005年第8期579-580,共2页Heilongjiang Medical Journal

摘　　要：目的分析冠心病(CAD)合并糖尿病(DM)患者非体外循环冠状动脉旁路移植术(OPCAB)围术期临床特征。方法回顾性分析1997-11～2004-07期间218例接受OPCAB手术的CAD患者,其中治疗组(DM合并CAD)48例,对照组170例。结果DM组冠状动脉病变远端细小16例(33.3%);术前血糖(6.4±1.2)mmol/L,术中血糖(16.3±2.2)mmol/L,术后第1d测血糖6.6～15.3(11.5±2.3)mmol/L;术后并发肺部感染7例,伤口愈合不良6例,口腔溃疡7例,6个月内复发心绞痛3例。与对照组比较,各指标均P<0.05。结论糖尿病患者行OPCAB手术病情复杂,围术期处理应采取综合疗法。Objective To study the clinical features in the patient undergone off- pump coronary artery bypass （OPCAB）. Methods The conditions before and after OPCAB in 48 patients with DM and 170 non - DM were investigated. The outcomes were compared between two groups. Results The slight distal coronary arteries were more common in these patients measured by coronary angiography. Through cominuous intravenous insulin infusion, their blood glucose levels were usually in good control. The complications including pulmonary infection, oral ulcer, wound healing problems and angina recurrence were more frequent in DM group. Conclusion More attention should be paid to such a kind of patient before and after OPCAB.

关 键 词：心血管外科学 糖尿病 冠状动脉疾病 冠状动脉旁路移植术 

分 类 号：R654.2[医药卫生—外科学]