非体外冠状动脉搭桥术治疗高龄冠心病患者的疗效

摘要

Objective To probe into the clinical effect of the treatment on elderly coronary heart disease by OPCAB. Methods Taking 68 patients who suffered from elderly coronary heart disease and who were conducted the OPCAB in our hospital from January 2012 to January 2013 as the research objects, and these patients were randomly divided into the non-extracorporeal circulation group and the extracorporeal circulation group. Then, the clinical effects of both groups were analyzed. Results The blood transfusion volume, the bleeding volume during surgeries, the surgery time and the time in hospital in the OPCAB group were evidently lower than that in the CABG group and the differences had the statistical significance(P<0.05). In addition, 3 patients in the OPCAB group suffered from complications, which was the uterine leiomyoma with cystic change. However, 7 patients in the CABG group suffered from complications, including 4 of them getting the cardiac arrhythmia and 3 of them getting congestive heart failure symptoms. Thus, the differences had the statistical signiifcance(P<0.05). Conclusion OPCAB has effective results. Comparing with extracorporeal circulation group, OPCAB has few complications. In addition, the cardiac trauma is small and the heart function can be recovered rapidly. Thus, it is the good way for the treatment for elderly coronary heart disease.%目的：探讨非体外冠状动脉搭桥术（OPCAB）治疗高龄冠心病患者的疗效。方法选取我院2012年1月～2013年1月实施OPCAB的68例高龄冠心病患者作为研究对象，按照手术方式分为非体外循环组和体外循环组，比较两组患者的疗效。结果 OPCAB组的输血量、术中出血量、手术时间及住院时间等各项指标都明显低于冠状动脉旁路移植术（CABG）组，两组比较差异有统计学意义（P＜0.05）；两组并发症比较：OPCAB组发生并发症3例，均为子宫平滑肌瘤伴囊性变，CABG组发生并发症7例，其中心律紊乱4例，充血性心理衰竭症状3例，差异有统计学意义（P＜0.05）。结论 OPCAB疗效显著，与CABG相比，具有并发症少、心脏创伤小、心脏功能恢复快等优点，是老年冠心病患者外科治疗的首选方法。