成人血糖与年龄因素对体外循环脏器功能的影响  

Effects of the Glycemic Level and Age on the Postoperative Organ Function During Adult Extracorporeal Circulation

作　　者：武婷[1] 文其祥[1] 

机构地区：[1]天津胸科医院灌注科,天津300051

出　　处：《中国体外循环杂志》2007年第2期102-104,共3页Chinese Journal of Extracorporeal Circulation

摘　　要：目的通过对术前高血糖与非高血糖、老年与非老年患者的对比来总结血糖水平与年龄因素对体外循环术后脏器功能的影响。方法随机选取瓣膜置换和冠脉旁路移植患者100例,分为4组,其中老年糖尿病组20例,老年非糖尿病组26例,非老年糖尿病组24例,非老年非糖尿病组30例。分别对比观察术前术后血糖、氧分压、肌酐、胆红素水平变化,术后脑神经并发症、拔气管插管及ICU时间、术后输血量等,用来推断各脏器功能。结果四组患者分别在术后血糖、氧分压、肌酐及ICU时间与输血量上有明显差异,其它方面无统计学意义但也有一定变化趋势。结论高血糖与高龄分别是影响术后恢复的重要因素。OBJECTIVE Summing up the effetion of glycemic level and age to the postoperative organ function by the comparison between hyperglycemic and normal glycemic, age more than 60 and less than 60 patients. METHODS Randomly selected 100 patients limited to valve replacement and coronary artery bypass grafting operations, inducing 20 old age and diabetes,26 old age but non -diabetes,24 no old but diabetes and 30 normal patients, patients＇glycemic level, blood oxygen, creatinine, total bilirubin were compared, and their neurological syndrome, intubation time, ICU time and the transfusions were observed. RESULTS There were statistical differences of postoperative glycemic,blood oxygen, creatinine level,ICU time and transfusions between four groups. CONCLUSION High glycemic level and old age do have their negative effects to patients＇postoperative resume.

关 键 词：体外循环 糖尿病 年龄 

分 类 号：R654.1[医药卫生—外科学]