体外循环搭桥术与左胸小切口非体外循环搭桥术治疗冠心病效果对比

Clinical effects comparision of extracorporeal circulation bypass surgery and non-extracorporeal bypass surgery in the left thoracic incision in patients with coronary artery disease

目的比较体外循环搭桥术与左胸小切口非体外循环搭桥术治疗冠心病患者的疗效。方法选取行冠状动脉搭桥术治疗的冠心病患者90例,随机分为两组,每组45例。对照组行体外循环搭桥术,实验组行左胸小切口非体外循环搭桥术。观察并比较两组术后恢复效果及并发症发生情况。结果对照组术后机械通气时间、ICU治疗时间、住院时间及并发症发生率均高于实验组,差异有统计学意义(P<0.05)。实验组术后并发症比例为15.56%(7/45),对照组为33.33%(15/45),两组比较差异有统计学意义(χ2=3.850,P<0.05)。结论左胸小切口非体外循环搭桥手术治疗冠心病效果优于体外循环搭桥手术,可有效减少术后并发症,帮助患者恢复。

Objective To compare the effects of extracorporeal circulation bypass surgery and non-extracorporeal bypass surgery on the left thoracic incision in patients with coronary artery disease.Methods Ninety patients with coronary heart disease and treated by coronary artery bypass surgery were selected and randomly divided into control group and experimental group,with 45 cases in each group.The patients in control group were treated by extracorporeal circulation bypass surgery,and the patients in experimental group were treated by non-extracorporeal bypass surgery in the left thoracic incision. The postoperative recovery and complications of the patients in the two groups were observed and compared.Results The time of mechanical ventilation,ICU,hospitalization and the incidence of complications of the patients in control group were higher than those of the experimental group,the differences were significant（ P〈0. 05）. Conclusions In the treatment of coronary heart disease,non-extracorporeal bypass surgery in the left thoracic incision has better clinical effects than extracorporeal circulation bypass surgery,which can effectively reduce the postoperative complications and help with postoperative recovery.