| 糖尿病对不停跳冠脉搭桥术围手术期的影响 |
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| 引用本文： | 季巍,陈宏,崔鹏,魏志凌,方丹.糖尿病对不停跳冠脉搭桥术围手术期的影响[J].西部医学,2011,23(3):468-470,473. |
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| 作者姓名： | 季巍 陈宏 崔鹏 魏志凌 方丹 |
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| 作者单位： | 北京市海淀医院心脏外科,北京,100080 |
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| 摘 要： | 目的探讨糖尿病对不停跳冠脉搭桥术（OPCAB）的影响。方法 2007年1月～2009年12月行不停跳冠脉搭桥术119例,其中2型糖尿病患者（DM组）38例,非糖尿病患者（NDM组）81例。单变量统计分析两组的术前危险因素和术后并发症。结果两组患者术后ICU停留时间DM组（1.9±0.9）天;NDM组（1.8±0.9）天;P=0.391]、切口并发症（DM组：15.8%;NDM组：11.1%;P=0.556）、输血量DM组（5.6±3.6）U;NDM组（4.9±3.7）U;P=0.398]等方面差异无显著性意义。两组患者术后严重并发症：死亡率（DM组：5.3%;NDM组：1.2%;P=0.239）、低心排（DM组：2.6%;NDM组：2.5%;P=1.000）、心率失常（DM组：15.8%;NDM组：12.3%;P=0.608）等差异无显著性意义。结论糖尿病患者经科学的控制病情后,OPCAB可以同非糖尿病患者一样安全的施行。
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| 关 键 词： | 不停跳冠脉搭桥术 糖尿病 手术后并发症 |
Influence of diabetes on off-pump coronary artery bypass in the perioperative patient |
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| JI Wei,CHEN Hong,CUI Peng,et al.Influence of diabetes on off-pump coronary artery bypass in the perioperative patient[J].Medical Journal of West China,2011,23(3):468-470,473. |
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| Authors: | JI Wei CHEN Hong CUI Peng |
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| Institution: | JI Wei,CHEN Hong,CUI Peng,et al(Department of Cardiac Surgery,Beijing Haidian Hospital,Beijing 100080,China) |
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| Abstract: | Objective Off-pump coronary artery bypass(OPCAB) experience in 119 cases was reviewed to determine whether diabetes would be applicable in OPCAB procedures.Methods This study included 38 diebetic patients(DM group) and 81 non-diabetic patients(NDM group).Preoperative variables were compared between the two groups by univariate analysis.Results No differences were found regarding the length of stay in cardio intensive care unit,wound complication(DM group: 15.8%;NDM group: 11.1%;P=0.556),and blood transfusio... |
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| Keywords: | Coronary artery bypass Diabetes mellitus Postoperative complications |
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