微创介入手术方舱开展冠心病介入诊疗对患者肾功能影响  

Changes of Renal Functions of Patients with Coronary Heart Disease after Coronary Intervention in Comprehensive Operation Cabin

作　　者：宣风琦[1] 梁明[2] 孙景阳[2] 荣晶晶[2] 赵丽军[2] 姚天明[2] 王效增[2] 李菲[2] 韩雅玲[2] 

机构地区：[1]大连医科大学附属第二医院心内科,辽宁大连116027 [2]沈阳军区总医院心血管内科,辽宁沈阳110016

出　　处：《创伤与急危重病医学》2015年第2期84-86,共3页Trauma and Critical Care Medicine

基　　金：全军"十二五"科研重点项目(BWS12J006);辽宁省科技攻关课题(2011225006)

摘　　要：目的探讨冠状动脉粥样硬化性心脏病(冠心病)患者在方舱内实施冠状动脉造影检查及介入手术诊疗后肾功能变化情况。方法选择于方舱内实施造影检查及介入手术诊疗的冠心病患者17例(方舱组)以及同时期于标准导管室内行介入手术诊疗的冠心病患者20例(导管室组)。分别测定两组患者术前及术后24、72 h的血清肌酐值,并随访术后1个月的不良反应发生情况。结果两组患者术前血清肌酐值相似,术后24、72 h方舱组与导管室组血清肌酐值比较,差异均无统计学意义。两组术后随访1个月均未出现不良反应。结论与标准导管室对比,方舱内实施冠状动脉造影或冠状动脉介入手术并未加重患者肾功能损害。Objective To investigate the changes of renal functions of patients with coronary heart disease （CHD） after coronary angiography and coronary intervention in comprehensive operation cabin. Methods Coronary angiography and/or percutaneous coronary intervention were performed on 17 patients who were diagnosed as CHD in cabins. Serum creatinine concentratin （Scr） was assessed before procedure,24,72 hours after operation,and one month clinical follow-up was per- formed. Results There was no significant difference in Scr between cabtins group and conduit room group in baseline, and also no statistical difference in Scr at 24,72 hours after operations was observed bewteen the two group. After one month of follow-up, no adverse events were reported in both groups. Conclusion This preliminary study which indicates that there are no kidney function injuries in patients performing SCA or PCI in cabins.

关 键 词：冠状动脉粥样硬化性心脏病 方舱 介入手术 肾功能损害 

分 类 号：R541.4[医药卫生—心血管疾病]