摘要
目的对比分析行体外循环冠状动脉旁路移植术(CCAB)和非体外循环冠状动脉旁路移植术(OPCAB)的70岁及以上老年患者手术后的早期临床疗效。方法回顾89例行冠状动脉旁路移植术的70岁及以上老年患者的病历资料,根据术式不同分为体外循环组(CCAB组,39例)和非体外循环组(OPCAB组,50例)。比较2组患者围手术期各项相关指标及术后康复情况。结果 2组比较,手术操作时间、远端吻合口数、术后住院时间无统计学差异(P>0.05),术后呼吸机辅助呼吸时间、ICU治疗时间、术后住院费用的差异有统计学意义(P<0.05),术后3个月左室射血分数和左室舒张末期直径无统计学差异(P>0.05),但OPCAB组总体健康、情感职能、精神健康评分明显高于CCAB组(均P<0.05)。结论 CCAB与OPCAB对于70岁及以上老年冠心病患者均为安全、有效的方法,各有优势,OPCAB对于术后康复更有益。
Objective To compare the early outcomes in elderly population （above 70 years old） who undergoing coronary artery bypass grafting with cardiopulmonary bypass or not. Methods A retrospectively study was performed on 89 patients admitted during 2006 - 2012, including 39 with conventional coronary artery bypass （CCAB） and 50 with off-pump coronary artery bypass （OPCAB）. The outcomes for two groups were com- pared. Quality of life was assessed using the short-form 36 health survey questionnaire （SF-36）. Results Them were marked differences in ventilat- ing hours, ICU residence time and operative expenses between the two groups. 3 months after operation, there was no significant difference in postop- erative LVEF, LVDD. The SF-36 scores of general health, role emotional and mental health in group OPCAB were higher than those in group CCAB （P 〈 0.05 ）. Conclusion In elderly patients, CCAB and OPCAB are safe and effective methods through the data of early postoperative period （3 months）. Quality of life at 3 months is superior in OPCAB than CCAB.
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2014年第3期255-258,共4页
Journal of China Medical University
基金
科技部国际科技交流合作专项(2010DFB33140)
