老年患者冠状动脉旁路移植术中应用肺动脉漂浮导管对预后的影响  

Impact of Pulmonary Artery Floating Catheter on Prognosis During Elderly Coronary Artery Bypass Grafting Surgery

作　　者：姜婕妤 Jiang Jieyu(Jilin Heart Hospital,Changchun,Jilin,130000,China)

机构地区：[1]吉林心脏病医院,吉林长春130000

出　　处：《黑龙江医学》2025年第9期1067-1069,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨老年患者冠状动脉旁路移植术中应用肺动脉漂浮导管对预后的影响。方法:回顾性分析2022年1月—2023年1月吉林心脏病医院收治的400例行冠状动脉旁路移植术患者的临床资料,根据术后预后情况分为预后良好组(327例)及预后不良组(73例)。采用单因素分析两组患者的一般资料,采用多因素logistic回归分析老年患者冠状动脉旁路移植术后预后的影响因素。结果:预后良好组患者手术时间较预后不良组短,悬浮红细胞输注量较预后不良组低,采用肺动脉漂浮导管数量较预后不良组高,差异均有统计学意义(t=11.169、9.999,χ^(2)=5.230;P<0.05);logistic回归分析结果显示,手术时间、采用肺动脉漂浮导管、悬浮红细胞输注量均为老年患者冠状动脉旁路移植术预后的影响因素。其中手术时间、悬浮红细胞输注量是老年患者冠状动脉旁路移植术预后良好的危险因素(OR=1.027、60.487,P<0.001),采用肺动脉漂浮导管是老年患者冠状动脉旁路移植术预后良好的保护因素(OR=0.099,P<0.05)。结论:手术时间、采用肺动脉漂浮导管监测、悬浮红细胞输注量均是老年患者冠状动脉旁路移植术预后的影响因素。Objective:To investigate the effect of pulmonary artery floating catheter on the prognosis of elderly patients undergoing coronary artery bypass grafting.Methods:A retrospective analysis was conducted on 400 patients who underwent coronary artery bypass grafting in the hospital from January 2022 to January 2023.The patients were divided into good prognosis group(327 cases)and poor prognosis group(73 cases)based on their postoperative prognosis.One-way ANOVA was used to analyze the general information of two groups of patients,and multiple logistic regression analysis was used to analyze the factors affecting the prognosis of elderly patients after coronary artery bypass grafting.Results:Patients in the good prognosis group had shorter surgical time,lower suspended red blood cell transfusion volume,and more pulmonary artery floating catheters compared to those in the poor prognosis group(t=11.169,9.999;χ^(2)=5.230;P<0.05).The results of logistic regression analysis showed that surgical time,use of pulmonary artery floating catheter and suspended red blood cell infusion volume were all factors affecting the prognosis of elderly coronary artery bypass grafting surgery.Surgical time and suspended red blood cell transfusion volume were risk factors for elderly coronary artery bypass grafting(OR=1.027,60.487;P<0.001),while the use of pulmonary artery floating catheter was a protective factor(OR=0.099,P<0.05).Conclusion:Surgical time,use of pulmonary artery floating catheter monitoring and suspended red blood cell infusion volume are all factors affecting the prognosis of elderly coronary artery bypass grafting.

关 键 词：老年患者 冠状动脉旁路移植术 肺动脉漂浮导管 手术时间 预后 

分 类 号：R542.54[医药卫生—心血管疾病]