冠状动脉旁路移植同期行心脏瓣膜置换术治疗冠心病合并心脏瓣膜病的效果  

Effect of Coronary Artery Bypass Grafting Combined with Heart Valve Replacement Surgery on Coronary Heart Disease Complicated with Heart Valve Disease

作　　者：王栋[1] WANG Dong(Department of Cardiothoracic Surgery,Anyang District Hospital of Puyang City,Anyang 455000,China)

机构地区：[1]濮阳市安阳地区医院心胸外科,河南安阳455000

出　　处：《河南医学研究》2025年第3期463-467,共5页Henan Medical Research

摘　　要：目的 本研究旨在评估冠状动脉旁路移植同期行心脏瓣膜置换术在治疗冠心病合并心脏瓣膜病患者中的安全性和有效性,为患者的综合治疗提供更科学、合理的依据。方法 选取濮阳市安阳地区医院2020年1月至2022年12月收治的100例经临床诊断为冠心病并伴有心脏瓣膜病的患者,按照随机分配原则分为两组。对照组接受冠状动脉旁路移植非同期行心脏瓣膜置换术,观察组接受冠状动脉旁路移植同期行心脏瓣膜置换术。对两组患者进行了详细的一般资料比较,并记录了手术方法、手术效果指标(包括心功能改善程度和缺血情况)、术后恢复指标(包括呼吸机应用时间、ICU停留时间和住院时间)以及并发症发生率等数据进行统计分析。结果 观察组手术成功率高于对照组,术后恢复指标均优于对照组(P<0.05)。观察组术后3个月心功能指标左心室射血分数(LVEF)提高,左心室舒张末内径减小,术后3个月缺血持续时间、缺血次数低于对照组,并发症发生率低于对照组(P<0.05)。结论 冠状动脉旁路移植同期行心脏瓣膜置换术较非同期手术,治疗冠心病合并心脏瓣膜病时展现出更高的手术成功率、更快的康复进程和更低的并发症发生率,对于冠心病合并心脏瓣膜病的治疗具有重要的临床意义。Objective This study aims to evaluate the safety and effectiveness of coronary artery bypass grafting combined with heart valve replacement in the treatment of patients with coronary heart disease complicated with valvular heart disease,providing a more scientific and reasonable basis for comprehensive treatment of patients.Methods A total of 100 patients diagnosed with coronary heart disease and concomitant heart valve disease admitted to Anyang District Hospital of Puyang City from January 2020 to December 2022 were randomly divided into two groups.The control group underwent coronary artery bypass grafting and non synchronous heart valve replacement surgery,while the observation group underwent coronary artery bypass grafting and synchronous heart valve replacement surgery.Detailed baseline data comparison was conducted between two groups of patients,and statistical analysis was conducted on surgical methods,surgical outcome indicators(including degree of improvement in heart function and ischemia),postoperative recovery indicators(including ventilator application time,ICU stay time,and hospital stay),and incidence of complications.Results The success rate of surgery in the observation group was higher than that in the control group,and the postoperative recovery indicators were better than those in the control group(P<0.05).The observation group showed an increase in cardiac function index left ventricular ejection fraction(LVEF)and a decrease in left ventricular end diastolic diameter at 3 months after surgery.The duration and frequency of ischemia at 3 months after surgery were lower than those in the control group,and the incidence of complications was lower than that in the control group(P<0.05).Conclusion Coronary artery bypass grafting with concomitant heart valve replacement surgery shows a higher success rate,faster recovery process,and lower incidence of complications in the treatment of coronary heart disease with valvular heart disease compared to non concomitant surgery.This has important clinical

关 键 词：冠心病 心脏瓣膜病 冠状动脉旁路移植 心脏瓣膜置换术 

分 类 号：R543[医药卫生—心血管疾病]