冠状动脉旁路移植同期心脏瓣膜置换术治疗冠状动脉粥样硬化性心脏病合并心脏瓣膜病的效果  

Effect of coronary artery bypass grafting and cardiac valve replacement on coronary heartdisease complicated with valvular heart disease

作　　者：陈健超[1] Chen Jianchao(Cardiac Surgery Department,the Seventh People＇s Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省郑州市第七人民医院心外三病区,450000

出　　处：《国际移植与血液净化杂志》2018年第5期5-7,共3页International Journal of Transplantation and Hemopurification

摘　　要：目的观察冠状动脉旁路移植同期心脏瓣膜置换术对于冠状动脉粥样硬化性心脏病合并心脏瓣膜病患者的效果。方法选择本院收治的92例冠状动脉粥样硬化性心脏病合并心脏瓣膜病患者作为研究对象，随机分为对照组和试验组，每组46例。对照组患者接受冠状动脉旁路移植术和非同期心脏瓣膜置换术治疗，试验组患者接受冠状动脉旁路移植和同期心脏瓣膜置换术治疗。对两组患者术后指标、术后心功能状态指标进行比较。结果试验组患者呼吸机使用时间、ICU监护时间及住院时间较对照组短，试验组患者术后心功能指标明显优于对照组。结论为冠状动脉粥样硬化性心脏病合并心脏瓣膜病患者施行冠状动脉旁路移植同期心脏瓣膜置换术治疗效果显著，值得推广。Objective To observe the effect of coronary artery bypass grafting and heart valve replacement on patients with coronary heart disease and heart valve disease. Methods A total of 92 patients with coronary heart disease and heart valve disease admitted to our hospital were randomly selected and divided into the control group and the study group （46 patients in each group）. Patients in the control group underwent coronary heart valve replacement with nonynchronous heart valve replacement. The patients in the study group underwent coronary artery bypass grafting for heart valve replacement. The postoperative related indicators and postoperative cardiac function status indicators were compared between the two groups. Results The ventilator time of the study group was shorter（P 〈0.05 ）. The ICU monitoring time of the study group was shorter（ P〈0.05 ）. The hospitalization time of the study group was shorter（ P〈0.05 ）. The postoperative cardiac function index of the study group was obvious （ P 〈 0.05 ）. Conclusion For patients with coronary heart disease and valvular heart disease, coronary artery bypass grafting is the most effective treatment for heart valve replacement. It is worthy of promotion.

关 键 词：冠状动脉粥样硬化性心脏病 心脏瓣膜病 冠状动脉旁路移植 心脏瓣膜 置换术 心功能 

分 类 号：R654.2[医药卫生—外科学]