摘要
目的比较重症心脏疾病术后患者在不同时机应用主动脉内球囊反搏(IABP)的效果。方法回顾性分析82例重症心脏疾病术后接受IABP治疗的患者的临床资料,根据IABP的应用时机将患者分为早期组(术后6 h内应用IABP,n=42)和晚期组(术后6 h及以上应用IABP,n=40)。比较两组患者的血流动力学指标、相关临床指标、血清学指标和并发症发生情况。结果应用IABP 48 h后,两组患者平均动脉压、左室射血分数均高于应用IABP前,且早期组均高于晚期组(均P<0.05)。早期组IABP留置时间、机械通气时间、心脏重症监护病房监护时间均短于晚期组(均P<0.05)。应用IABP 48 h后,早期组血清氨基末端脑钠肽前体水平低于晚期组,血清乳酸清除率高于晚期组(均P<0.05)。早期组并发症总发生率低于晚期组(P<0.05)。结论重症心脏疾病患者术后早期开展IABP可以促进血流动力学和血清学指标的改善,缩短临床治疗时间,降低并发症风险。
Objective To compare the effects of using intra-aortic balloon pump(IABP)at different times after surgery in patients with severe heart disease.Methods A retrospective analysis was performed on the clinical data of 82 patients undergoing IABP after surgery for severe heart disease.According to the timing of using IABP,the patients were divided into the early group(IABP applied within 6 hours after surgery,n=42)or the late group(IABP applied over 6 hours after surgery,n=40).The hemodynamic indexes,related clinical indicators,serological indexes,and incidence of complications were compared between the two groups.Results After 48 hours of using IABP,the mean arterial pressure and left ventricular ejection fraction of the two groups were higher than those before using IABP,and those of the early group were higher than those of the late group(all P<0.05).The indwelling time of IABP,the duration of mechanical ventilation,and monitoring time in the cardiac care unit in the early group were shorter than those in the late group(all P<0.05).After 48 hours of using IABP,the serum level of N-terminal pro-brain natriuretic peptide in the early group was lower than that in the late group,and the serum lactate clearance rate was higher than that in the late group(all P<0.05).The overall incidence of complications in the early group was lower than that in the late group(P<0.05).Conclusion Early IABP can promote the improvement of hemodynamic and serological indexes,shorten the clinical treatment time,and reduce the risk of complications in patients undergoing surgery for severe heart disease.
作者
朱亮亮
陈美慧
崔彩冰
林惠娟
ZHU Liangliang;CHEN Meihui;CUI Caibing;LIN Huijuan(Cardiac Care Unit,Maoming People's Hospital,Maoming 525000,Guangdong Province,China)
出处
《内科》
2024年第5期491-494,共4页
Internal Medicine
关键词
心脏病
主动脉内球囊反搏
时机
并发症
Heart disease
Intra-aortic balloon pump
Timing
Complication
