Objective To systemically compare the clinical early outcomes between CABG and OPCABG. Methods Retrospective database and medical record review from December 2008 to April 2010,60 patients in the CABG group, and 60 patients enrolled in the OPCABG group. Preoperative characteristics, postoperative ICU stay, hospital time, mechanical ventilation time, chest drainage, renal dysfunction, perioperative myocardial infarction, postoperative arrhythmia, pulmonary infection, cerebrovascular disease, secondary thoracotomy, IABP(intra-aortic ballon pump) use, hospital mortality were compared in the two groups. Results Preoperative characteristics were similar in both groups. Compared with the CABG group, OPCABG group hospital time and mechanical ventilation time was shorter ( P < 0. 05), chest drainage was lower ( P < 0. 05 ). Perioperative mortality, ICU stay and postoperative arrhythmia, perioperative myocardial infarction, acute renal insufficiency, secondary thoracotomy, hospital mortality, were similar in two groups. Conclusion OPCABG early outcomes are better than CABG.%目的 回顾性分析和比较体外循环和非体外循环冠状动脉旁路移植术(CABG)后早期患者的临床疗效.方法 选择2008年12月至2010年4月择期行CABG患者105例,其中体外循环(CABG组)60例,非体外循环(OPCABG组)45例.比较两组术前一般情况及ICU停留时间、机械通气时间、病死率等术后恢复指标.结果 两组患者术前一般情况差异无统计学意义.CABG组住院时间及机械通气时间明显长于OPCABG组,术后胸腔引流量显著高于OPCABG组(P＜0.05).其它术后恢复指标组间差异无统计学意义.结论 CABG采用非体外循环患者术后早期预后要好于体外循环患者.
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