体外循环搭桥术与左胸小切口非体外循环搭桥术治疗冠心病效果对比  

Comparison of effect of extracorporeal bypass grafting and non-extracorporeal bypass grafting in treatment of coronary heart disease with small left thoracic incision

作　　者：郭小峰 陈兴澎 李斌 GUO Xiao-feng;CHEN Xing-peng;LI Bin(Luoyang Central Hospital Affiliated to Zhengzhou University,Luoyang,Henan 471000,China)

机构地区：[1]郑州大学附属洛阳中心医院心脏外科

出　　处：《医药论坛杂志》2019年第9期44-46,共3页Journal of Medical Forum

摘　　要：目的分析冠心病治疗采用体外循环搭桥术与左胸小切口非体外循环搭桥术的效果。方法选取2015年6月-2017年7月郑州大学附属洛阳中心医院收治的冠心病患者100例,随机分为两组,对照组采用体外循环搭桥术进行治疗,观察组采用左胸小切口非体外循环搭桥术进行治疗,对比两组并发症发生情况及术后恢复情况。结果观察组患者住院时间、ICU治疗时间、术后辅助呼吸时间分别为(16.12±1.25)d、(2.82±0.21)d、(11.02±0.28)h,均短于对照组[(25.62±2.16)d、(5.19±0.56)d、(20.96±1.56)h],差异存在统计学意义,P<0.05;观察组中肺部感染、二次开胸止血、脑血管病变、肾功能不全、低心排、心律失常患者分别有2例、0例、2例、1例、1例、0例,并发症总发生率为12%,明显低于对照组(32%),对比差异有统计学意义(χ2=9.6257,P<0.05)。结论左胸小切口非体外循环搭桥术治疗冠心病与体外循环搭桥术比较,安全性高,并发症发生率低,临床效果更好,可推广应用。Objective To analyze the effect of coronary heart disease treated with extracorporeal bypass grafting and non-extracorporeal bypass grafting with small left thoracic incision.Methods Totally 100 patients with coronary heart disease admitted to our hospital from June 2015 to July 2017 were selected and randomly divided into two groups. The control group was treated with extracorporeal bypass grafting, and the observation group was treated with non-extracorporeal bypass grafting with a small incision on the left chest. Complications and postoperative recovery of the two groups were compared.Results The length of hospital stay, ICU treatment time and postoperative assisted breathing time in the observation group were(16.12±1.25) d,(2.82±0.21) d,(11.02±0.28) h, respectively, which were shorter than those of the control group(25.62±2.16) d,(5.19±0.56) d,(20.96±1.56) h, with significant differences(P<0.05). In the observation group, there were 2 cases, 0 case, 2 cases, 1 case, 1 case and 0 case of patients with pulmonary infection, secondary thoracotomy for hemostasis, cerebrovascular diseases, renal insufficiency, low cardiac drainage and arrhythmia, respectively. The total incidence of complications was 12%, significantly lower than 32% in the control group,χ~2=9.6257, P<0.05.Conclusion Compared with extracorporeal bypass grafting(cabg), the treatment of coronary heart disease with small left thoracic incision has higher safety, lower incidence of complications and better clinical effect.

关 键 词：体外循环搭桥术 左胸小切口 非体外循环搭桥术 冠心病 

分 类 号：R654.2[医药卫生—外科学]