快速血栓弹力图对冠脉搭桥患者心理状态及生活质量的影响

Effects of rapid thromboelastogram on psychological state and quality of life in patients undergoing coronary artery bypass grafting

目的探讨使用快速血栓弹力图对冠脉搭桥患者心理状态及生活质量的影响。方法2018年1—12月选择郑州大学第一附属医院收治的冠脉搭桥患者180例作为研究对象,随机分为对照组和观察组,每组各90例。对照组停抗血小板药物后5~7 d安排手术。观察组患者术前行快速血栓弹力图检测,根据检测结果安排手术时间。比较两组患者手术情况、焦虑评分、生活质量评分。结果观察组术前等待时间、ICU停留时间、插管时间均低于对照组,差异有统计学意义(P<0.05);两组焦虑评分均随时间下降,观察组低于对照组(P<0.05);两组患者术后不良反应发生率差异无统计学意义(P>0.05),观察组术后再住院率低于对照组,差异有统计学意义(P<0.05)。结论冠脉搭桥患者术前使用快速血栓弹力图能有效缩短术前等待时间,且在一定程度上改善术前及术后焦虑情绪,提高生活质量,降低再住院率。

Objective To explore the effect of rapid thromboelastogram(TEG)on psychological state and quality of life in patients undergoing coronary artery bypass grafting.Methods A total of 180 patients with coronary artery bypass grafting who were admitted to the First Affiliated Hospital of Zhengzhou University from January to December 2018 were selected as the research objects and they were randomly divided into the control group and the observation group,with 90 cases in each group.Patients in the control group were given operation 5-7 days after stopping antiplatelet drugs.Patients in the observation group underwent rapid TEG test before operation,and the operation time was arranged according to the test results.The operation status,anxiety score and quality of life score were compared between the two groups.Results The preoperative waiting time,ICU stay time and intubation time of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The anxiety scores of both groups decreased with time,and anxiety scores of the observation group was lower than that of the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions of patients between the two groups(P>0.05).The postoperative rehospitalization rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusions Preoperative use of rapid thromboelastogram for patients undergoing coronary artery bypass grafting can effectively shorten the preoperative waiting time,improve preoperative and postoperative anxiety to some extent,improve the quality of life and reduce the rehospitalization rate.