非体外循环冠状动脉旁路移植围术期输血危险因素分析  

Analysis of the risk factors of perioperative transfusion after off-pump coronary artery bypass grafting

作　　者：刘宇[1] 孙昊[1] 吴海波[1] 王辉山[1] 

机构地区：[1]沈阳军区总医院心血管外科,辽宁沈阳110016

出　　处：《临床军医杂志》2016年第4期408-410,共3页Clinical Journal of Medical Officers

基　　金：辽宁省科技攻关计划(2012225005)

摘　　要：目的探讨非体外循环冠状动脉旁路移植围术期输血的相关危险因素。方法回顾性分析2014年1-7月沈阳军区总医院收治的150例行非体外循环冠状动脉旁路移植术(OPCAB)患者的临床资料,对可能引起围术期输血的因素进行单因素及二元Logistic回归分析,确定与围术期输血相关的独立危险因素。结果本组患者围术期输血的患者19(12.67%)例,单因素分析提示,输血组女性患者比例、年龄、引流量显著高于非输血组,而体质量显著低于非输血组(P<0.05)。经二元Logistic回归分析显示,女性是OPCAB围术期输血的最主要影响因素。结论女性是OPCAB围术期输血的主要独立危险因素,术后引流量在围术期输血中具有一定意义。Objective To explore the risk factors of perioperative transfusion after off-pump coronary artery bypass grafting （ OP-CAB）. Methods A retrospective study was performed on 150 cases of patients who underwent OPCAB from January to July 2014. Several statistically significant risk factors were screened out with univariate analysis and independent risk factors of transfusion were determined with logistic regression analysis. Results Univariate analysis showed that female age,volume of drainage were higher in transfusion group than those in non-transfusion group（P〈0. 05）. Weights were lower in transfusion group than those in non-transfu-sion group（P〈0. 05）. Logistic analysis showed that the influencing factors of transfusion were female and volume of drainage,female was the most important factor. Conclusion Female is the main independent risk factor of perioperative transfusion after OPCAB,and the volume of drainage has certain significance in the perioperative transfusion.

关 键 词：冠心病 非体外循环冠状动脉旁路移植术 输血 

分 类 号：R654.2[医药卫生—外科学]