医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
10期
1856-1857
,共2页
冠状动脉旁路移植术%体外循环%非体外循环
冠狀動脈徬路移植術%體外循環%非體外循環
관상동맥방로이식술%체외순배%비체외순배
Coronary bypass operation%Extracorporeal circulation%Non-extracorporeal circulation
目的：比较体外循环和非体外循环下冠状动脉旁路移植术的临床疗效和并发症。方法选择2012年2月至2014年5月在武汉亚洲心脏病医院行冠状动脉旁路移植术的70例患者作为研究对象，按照电脑产生的随机数列分为对照组和研究组，各35例。对照组患者在体外循环下进行手术，研究组在非体外循环下进行手术。比较两组患者临床疗效、客观指标情况（包括手术时间、输血量、住院时间、呼吸机辅助时间）和术后并发症。结果研究组治疗总有效率显著高于对照组[94．3％（33／35）比74．3％（26／35）]，差异有统计学意义（P＜0．05）；研究组患者手术时间、术中输血量、住院时间、呼吸机辅助时间均较对照组显著缩短，差异均有统计学意义（均 P＜0．01）；研究组术后并发症发生率显著低于对照组[17．1％（6／35）比42．9％（15／35）]，差异有统计学意义（ P ＜0．05）。结论冠状动脉旁路移植术在循环或非体外循环条件下均取得了一定的临床疗效，但在非体外循环下患者疗效更佳，既可做到创伤小、安全性高，又可避免术后并发症的出现，显著提高治疗有效率。
目的：比較體外循環和非體外循環下冠狀動脈徬路移植術的臨床療效和併髮癥。方法選擇2012年2月至2014年5月在武漢亞洲心髒病醫院行冠狀動脈徬路移植術的70例患者作為研究對象，按照電腦產生的隨機數列分為對照組和研究組，各35例。對照組患者在體外循環下進行手術，研究組在非體外循環下進行手術。比較兩組患者臨床療效、客觀指標情況（包括手術時間、輸血量、住院時間、呼吸機輔助時間）和術後併髮癥。結果研究組治療總有效率顯著高于對照組[94．3％（33／35）比74．3％（26／35）]，差異有統計學意義（P＜0．05）；研究組患者手術時間、術中輸血量、住院時間、呼吸機輔助時間均較對照組顯著縮短，差異均有統計學意義（均 P＜0．01）；研究組術後併髮癥髮生率顯著低于對照組[17．1％（6／35）比42．9％（15／35）]，差異有統計學意義（ P ＜0．05）。結論冠狀動脈徬路移植術在循環或非體外循環條件下均取得瞭一定的臨床療效，但在非體外循環下患者療效更佳，既可做到創傷小、安全性高，又可避免術後併髮癥的齣現，顯著提高治療有效率。
목적：비교체외순배화비체외순배하관상동맥방로이식술적림상료효화병발증。방법선택2012년2월지2014년5월재무한아주심장병의원행관상동맥방로이식술적70례환자작위연구대상，안조전뇌산생적수궤수렬분위대조조화연구조，각35례。대조조환자재체외순배하진행수술，연구조재비체외순배하진행수술。비교량조환자림상료효、객관지표정황（포괄수술시간、수혈량、주원시간、호흡궤보조시간）화술후병발증。결과연구조치료총유효솔현저고우대조조[94．3％（33／35）비74．3％（26／35）]，차이유통계학의의（P＜0．05）；연구조환자수술시간、술중수혈량、주원시간、호흡궤보조시간균교대조조현저축단，차이균유통계학의의（균 P＜0．01）；연구조술후병발증발생솔현저저우대조조[17．1％（6／35）비42．9％（15／35）]，차이유통계학의의（ P ＜0．05）。결론관상동맥방로이식술재순배혹비체외순배조건하균취득료일정적림상료효，단재비체외순배하환자료효경가，기가주도창상소、안전성고，우가피면술후병발증적출현，현저제고치료유효솔。
Objective To compare the clinical curative effect of coronary bypass operation under extra-corporeal circulation and non-extracorporeal circulation.Methods A total of 70 patients underwent coronary artery bypass grafting in Wuhan Asia Heart Hospital from Feb .2012 to May 2014 were randomly divided into research group and control group,with 35 cases in each group.Patients in control group were treated with extracorporeal circulation,while patients in research group were treated with non-extracorporeal circulation. The clinical curative effect differences of objective indexes(including operation time,amount of blood transfu-sion,duration of hospital stay,respirator auxiliary time) and postoperative complications of the two groups were compared.Results The total effective rate of the research group was significantly higher than that of the control group [ 94 .3%( 33/35 ) vs 74 .3%( 26/35 ) ] , the difference was statistically significant ( P <0.05).The operation time,amount of blood transfusion in operation,duration of hospital stay and respirator auxiliary time of the research group were significantly lower than the control group ,the differences were statis-tically significant(P<0.01).The incidence of postoperative complications of the research group was lower than that of the control group[17.1%(6/35) vs 42.9%(15/35)],the difference was statistically signifi-cant(P<0.05).Conclusion Coronary bypass operation either under extracorporeal circulation or under non-extracorporeal circulation can receive certain clinical curative effect ,while the clinical effect of operation under non-extracorporeal circulation is better,as it can ensure safety and minimal invasive as well as avoid postoperative complications and further improve the effective rate .
