小切口冠状动脉搭桥术治疗冠心病的疗效

Effect of Small Incision Coronary Artery Bypass Grafting on Coronary Heart Disease

目的分析小切口冠状动脉搭桥术治疗冠心病的疗效。方法选取2015年1月—2020年1月60例医院收治冠心病患者,所有患者均行冠脉搭桥术治疗,按照分层随机法分为两组。对照组采取传统正中切口冠脉搭桥术,观察组则采取小切口冠脉搭桥术。比较两组患者手术相关指标、术后并发症发生率的差异,并随访半年观察两组患者血管桥通畅率。结果观察组手术时间、术后呼吸机辅助通气时间、住院时间均明显短于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05);随访观察发现,观察组血管桥通畅率明显高于对照组,差异有统计学意义(P<0.05)。结论小切口冠状动脉搭桥术治疗冠心病具有较高的疗效与安全性,与传统正中切口相比,能够降低术后并发症发生率,提高患者的远期疗效。

Objective To analyze the efficacy of small incision coronary artery bypass grafting in the treatment of coronary heart disease.Methods 60 patients with coronary heart disease admitted to hospitals from January 2015 to January 2020 were selected.All patients underwent coronary artery bypass grafting(CABG)and were divided into two groups according to stratified random method.The control group adopted traditional midline incision cabg,while the observation group adopted small incision cabg.The differences in surgical related indicators and postoperative complication rates were compared between the two groups,and the patency rate of vascular bridge was observed in the two groups after half a year’s followup.Results The operative time,postoperative ventilatorassisted ventilation time and hospital stay time in the observation group were significantly shorter than those in the control group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Follow-up observation showed that the patency rate of vascular bridge in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Small-incision coronary artery bypass grafting has a higher efficacy and safety in the treatment of coronary heart disease.Compared with traditional midline incision,it can reduce the incidence of postoperative complications and improve the long-term efficacy of patients.