广西医学
廣西醫學
엄서의학
Guangxi Medical Journal
2015年
8期
1100-1101,1113
,共3页
王永勇%戴磊%阳诺%谭翔%冼磊%郭建极%陈铭伍
王永勇%戴磊%暘諾%譚翔%冼磊%郭建極%陳銘伍
왕영용%대뢰%양낙%담상%승뢰%곽건겁%진명오
二尖瓣置换术%体外循环%不停搏%尿素氮%血肌酐
二尖瓣置換術%體外循環%不停搏%尿素氮%血肌酐
이첨판치환술%체외순배%불정박%뇨소담%혈기항
Mitral valve replacement%Cardiopulmonary bypass%Beating-heart%Blood urea nitrogen%Serum creatinine
目的 对比心脏停搏和不停搏体外循环( CPB)二尖瓣置换术对患者肾功能的影响. 方法 需行二尖瓣置换术的患者40例,随机分为不停搏组和停搏组,每组各20例. 检测术前( T1 )、CPB后30 min( T2 )、CPB后2 h( T3 )、术后24 h( T4 )、术后72 h(T5)血清尿素氮(BUN)、血肌酐(Scr)水平. 结果 术后不停搏组血清BUN、Scr水平低于停搏组(P<0.05),组内不同时间点的BUN 、Scr水平差异有统计学意义(P<0.05),分组与时间之间有交互作用(P<0.05). 结论 心脏不停搏手术较之停搏手术在一定程度上可减少对二尖瓣置换术患者肾功能的损害.
目的 對比心髒停搏和不停搏體外循環( CPB)二尖瓣置換術對患者腎功能的影響. 方法 需行二尖瓣置換術的患者40例,隨機分為不停搏組和停搏組,每組各20例. 檢測術前( T1 )、CPB後30 min( T2 )、CPB後2 h( T3 )、術後24 h( T4 )、術後72 h(T5)血清尿素氮(BUN)、血肌酐(Scr)水平. 結果 術後不停搏組血清BUN、Scr水平低于停搏組(P<0.05),組內不同時間點的BUN 、Scr水平差異有統計學意義(P<0.05),分組與時間之間有交互作用(P<0.05). 結論 心髒不停搏手術較之停搏手術在一定程度上可減少對二尖瓣置換術患者腎功能的損害.
목적 대비심장정박화불정박체외순배( CPB)이첨판치환술대환자신공능적영향. 방법 수행이첨판치환술적환자40례,수궤분위불정박조화정박조,매조각20례. 검측술전( T1 )、CPB후30 min( T2 )、CPB후2 h( T3 )、술후24 h( T4 )、술후72 h(T5)혈청뇨소담(BUN)、혈기항(Scr)수평. 결과 술후불정박조혈청BUN、Scr수평저우정박조(P<0.05),조내불동시간점적BUN 、Scr수평차이유통계학의의(P<0.05),분조여시간지간유교호작용(P<0.05). 결론 심장불정박수술교지정박수술재일정정도상가감소대이첨판치환술환자신공능적손해.
Objective To compare the effects of arrested-versus beating-heart mitral valve replacement with cardiopulmonary bypass( CPB) on the patients′renal function.Methods Forty patients who needed mitral valve replacement were randomly divided into beating-heart group and arrested-heart group,with 20 case in each group.The levels of blood urea nitrogen(BUN) and serum creatinine (Scr) were detected preoperatively(T1),30 minutes after CPB(T2),2(T3),24(T4) and 72 hours (T5) after CPB,respectively.Results After operation,the levels of BUN and Scr in the beating-heart group were lower than those in the arrested-heart group(P<0.05),there were significant differences in the levels of BUN and Scr at different time points in each group(P<0.05),and significant interaction effects were observed between different groups and times(P<0.05).Conclusion To some extent,beating-heart surgery may lead to less damages to renal function among patients who have undergone mitral valve replacement compared to arrested-heart surgery.
