冠状动脉旁路移植联合心脏瓣膜置换术治疗不同年龄组心脏瓣膜病合并冠心病的效果  

Effect of Coronary Artery Bypass Grafting Combined with Heart Valve Replacement in Treatment of Valvular HeartDisease with Coronary Heart Disease in Different Age Groups

作　　者：朴雄[1] Piao Xiong(Yanbian University Hospital,Yanji 133000,Jilin Province,China)

机构地区：[1]延边大学附属医院,吉林延吉133000

出　　处：《中国社区医师》2023年第30期80-82,共3页Chinese Community Doctors

摘　　要：目的:探讨冠状动脉旁路移植联合心脏瓣膜置换术治疗不同年龄组心脏瓣膜病合并冠心病(CHD)的效果。方法:选取2019年6月—2021年7月延边大学附属医院收治的心脏瓣膜病合并CHD患者55例作为研究对象,按照年龄分为老年组(>65岁)和非老年组(≤65岁)。两组均给予冠状动脉旁路移植联合心脏瓣膜置换术治疗。比较两组治疗效果。结果:两组辅助呼吸时间、重症监护室监护时间、输血量、住院时间比较,差异无统计学意义(P>0.05)。术前、术后,两组左室舒张末内径(LVEDD)、左室舒张末期容积(LVEDV)、左室射血分数(LVEF)比较,差异无统计学意义(P>0.05);术后,两组LVEDD、LVEDV低于术前,LVEF高于术前,差异有统计学意义(P<0.05)。老年组术后并发症总发生率高于非老年组,差异有统计学意义(P=0.020)。结论:在冠状动脉旁路移植联合心脏瓣膜置换术治疗瓣膜病合并CHD中,年龄对患者术后相关指标和心功能影响不大,但高龄患者术后并发症发生率较高,需做好针对性治疗和护理。Objective:To investigate the effect of coronary artery bypass grafting combined with heart valve replacement in the treatment of valvular heart disease with coronary heart disease(CHD)in different age groups.Methods:A total of 55 patients with valvular heart disease and CHD who were admitted to Yanbian University Hospital from June 2019 to July 2021 were selected as the study subjects.They were divided into an elderly group(>65 years old)and a non-elderly group(≤65 years old)according to the age.Both groups were treated with coronary artery bypass grafting combined with heart valve replacement.The treatment ef⁃fects of the two groups were compared.Results:There were no significant differences in assisted breathing time,intensive care unit monitoring time,blood transfusion volume,and length of hospital stay between the two groups(P>0.05).Before and after surgery,there was no significant difference in left ventricular end-diastolic diameter(LVEDD),left ventricular end-diastolic volume(LVEDV)and left ventricular ejection fraction(LVEF)between the two groups(P>0.05).After surgery,LVEDD and LVEDV in two groups were lower than those before surgery,and LVEF in two groups was higher than that before surgery,and the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the elderly group was higher than that in the non-elderly group,and the difference was statistically significant(P=0.020).Conclusion:In the combination of coronary artery by⁃pass grafting and heart valve replacement for the treatment of valvular disease with CHD,the age has a little influence on postop⁃erative indicators and cardiac function of patients,but the incidence of postoperative complications in elderly patients is higher,and targeted treatment and care are needed.

关 键 词：心脏瓣膜病 冠心病 瓣膜置换手术 冠状动脉搭桥术 

分 类 号：R654.2[医药卫生—外科学]