CAJ | 학술논문

目的探讨≥80岁的高龄患者非体外循环冠状动脉旁路移植手术(OPCABG)相对传统体外循环冠状动脉旁路移植手术(CCABG)的早期疗效. 方法选择≥80岁进行CABG患者105例,根据手术方式不同,分为CCABG组(60例)和OPCABG(45例),对两组的临床资料进行回顾性分析. 结果 OPCABG组术后30 d病死率低于CCABG组(5.0％和8.3％,P＜0.05),与CCABG组相比较,OPCABG组ICU时间[(37.1±30.3)h和(60.6±58.2) h],呼吸机辅助时间[(10.8±9.7)h和(22.3±35.7) h],输血量[(845±151)ml和(1160±1052) ml],神经系统并发症(0.0％和3.3％),术后房颤发生率(31.1％和41.7％)均低于CCABG组(均P＜0.05). 结论 OPCABG在≥80岁高龄患者中能够取得良好的临床效果,对于高龄患者如果可能的话,应尽量考虑采用OPCAB.
목적 탐토≥80세적고령환자비체외순배관상동맥방로이식수술(OPCABG)상대전통체외순배관상동맥방로이식수술(CCABG)적조기료효. 방법 선택≥80세진행CABG환자105례,근거수술방식불동,분위CCABG조(60례)화OPCABG(45례),대량조적림상자료진행회고성분석. 결과 OPCABG조술후30 d병사솔저우CCABG조(5.0％화8.3％,P＜0.05),여CCABG조상비교,OPCABG조ICU시간[(37.1±30.3)h화(60.6±58.2) h],호흡궤보조시간[(10.8±9.7)h화(22.3±35.7) h],수혈량[(845±151)ml화(1160±1052) ml],신경계통병발증(0.0％화3.3％),술후방전발생솔(31.1％화41.7％)균저우CCABG조(균P＜0.05). 결론 OPCABG재≥80세고령환자중능구취득량호적림상효과,대우고령환자여과가능적화,응진량고필채용OPCAB.
Objective To compare the outcomes of off-pump versus on-pump CABG.Methods From 2002 to 2008,CABG was performed in 105 patients aged 80 years and over,including 45 without cardiopulmonary bypass (CPB) or off-pump (OP) CABG (OPCAB) and 60 with CPB (onpump CABG).The outcomes were compared between two groups.Results The mean ICU stay was (37.1±30.3) h in OPCAB group and (60.6±58.2) h in on-pump CABG group (P＜0.01).Average ventilator-assisted time was (10.8±9.7) h for OPCAB group versus (22.3±35.7) h for onpump CABG group (P＜0.01).Postoperative atrial fibrillation occurred in 31.1％ of OPCABG patients and 41.7 ％ of on-pump CABG patients (P＜0.01).The mortality rate was 5.0％ in OPCABG group versus 8.3％ in on-pump CABG group (P＜0.05).Conclusions OPCABG is a safe and efficient method of myocardial revascularization in the elderly patients with lower morbidity and complications.