高龄?低龄患者不停跳搭桥术后近中期结果的对比分析
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A comparative analysis of early and mid-term outcomes in patients between two different age group undergoing off-pump coronary artery bypass grafting
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    目的:对两组不同年龄阶段的患者不停跳搭桥术后近中期结果进行对比分析-方法:连续收治的145例接受不停跳搭桥患者依据年龄被分为两组,相对高龄组(≥70岁)68例;相对低龄组(<70岁)77例-采用多次信访-电话随访以及门诊复查相结合的方式对两组患者手术后近中期的结果进行对比分析-其中近期是指术后1个月,中期是指术后12~24个月,平均(18.3 ± 8.8)个月-结果:两组均未发生住院死亡-高龄组在术后平均气管插管时间-血制品的输注及房颤发生率明显高于低龄组,而术后平均ICU观察时间-住院时间-主要心脏事件发生率等方面两组之间并无显著性差别-结论:与低龄组患者相比,对于高龄组患者,不停跳搭桥同样能带来满意的临床近中期结果-

    Abstract:

    Objective:To make a comparative analysis of early and mid-term outcomes in two different age groups receiving off-pump coronary artery bypass grafting(OPCAB). Methods:From January,2005 to May,2007,145 consecutive isolated patients undergoing OPCAB were divided into two groups according to their age:the relatively elder group(≥70 years),n = 68 and the relatively younger group(<70 years),n = 77. Early and mid-term outcomes were comparatively analyzed with the combined follow-up of letter,telephone and out-patient clinic re-examination. Results:There were no hospital deaths in each group. There was no significant difference in postoperative average ICU stay and hospital stay time,major cardiac events rate in two groups. But compared with the relatively younger group,the average intubation time,blood transfusion and atrial fibrilation incidence were remarkably higher in the relatively elder group(P = 0.001). Conclusion:OPCAB provides satisfactory early and mid-term clinical outcomes for the elderly as well as younger patients.

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刘培生,陈 鑫,石开虎,徐 明,蒋英硕.高龄?低龄患者不停跳搭桥术后近中期结果的对比分析[J].南京医科大学学报(自然科学版),2007,(12):1414-1418

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  • 收稿日期:2007-06-23
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