常飞虎

[摘要] 目的 探讨连续非体外循环冠状动脉搭桥手术的疗效分析，为临床应用治疗提供科学理论依据。方法 方便选取2016年4月—2017年6月在该院治疗的行冠状动脉搭桥手术患者198例为研究对象，随机分为对照组和观察组，每组99例。对照组进行体外循环下冠脉搭桥手术，观察组进行非体外循环冠状动脉搭桥手术，观察两组患者的搭桥血管数、手术时间、监护时间及治疗情况、术后并发率等情况。结果 观察组患者在非体外循环冠状动脉搭桥手术后，手术时间、呼吸机辅助时间、监护时间及术后住院时间均和对照组差异有统计学意义（P<0.05）；术后并发症情况也好于对照组，并发率分别为7.07%和21.21%，经统计学分析，差异有统计学意义（χ2=9.31，P=0.032）。结论 连续非体外循环冠状动脉搭桥手术在搭桥血管数相近的情况下，手术时间、监护时间及住院时间等均缩短，值得在临床上应用推广。

[关键词] 连续非体外循环；冠状动脉搭桥手术；临床疗效分析

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）04（c）-0100-03

Analysis of Curative Effect of Consecutive Off Pump Coronary Artery Bypass Surgery

CHANG Fei-hu

Department of Cardiac Macrovascular Surgery， Heilongjiang Far East Cardiovascular and Cerebrovascular Hospital， Harbin， Heilongjiang Province， 150046 China

[Abstract] Objective To study the analysis of curative effect of consecutive off pump coronary artery bypass surgery thus providing scientific theoretical basis for the clinical application and treatment. Methods 198 cases of patients with coronary artery bypass surgery admitted and treated in our hospital from April 2016 to June 2017 were convenient selected and randomly divided into two groups， the control group were treated with coronary artery bypass surgery under cardiopulmonary bypass， while the observation group were treated with non- coronary artery bypass surgery under cardiopulmonary bypass， and the number of bypass vessels， operation time， monitoring time， treatment situation and postoperative complication rate were compared between the two groups. Results The differences in the operation time， respiration assisted time， monitoring time and postoperative length of stay between the two groups after surgery were statistically significant（P<0.05）， and the postoperative complication was better than that in the control group（7.07% vs 21.21%）， and the difference was statistically significant （χ2=9.31， P=0.032）. Conclusion The operation time， monitoring time and length of stay are shortened when the number of bypass vessels is similar under the consecutive off pump coronary artery bypass surgery， which is worth clinical application and promotion.

[Key words]Continuous non extracorporeal circulation； Coronary artery bypass surgery； Analysis of clinical curative effect

冠狀动脉搭桥手术（CABG）是目前国际上公认的治疗冠心病最有效的方法之一，可以改善患者的心肌血供，缓解患者心绞痛症状，提高患者的生活质量，降低冠心病的死亡率[1-3]。但是冠脉搭桥手术通常是在体外循环与患者心脏停跳的情况下进行，因此有可能引起患者全身炎症反应、神经系统并发症及凝血功能障碍等。近年来，非体外循环冠状动脉搭桥手术（OPCABG）发展迅速，具有安全、创伤小及并发症少等优点。该文方便选取2016年4月—2017年6月在该院治疗的行冠状动脉搭桥手术患者198例为研究对象，研究连续非体外循环冠状动脉搭桥手术的临床效果，取得较好的效果，现报道如下。

1 资料与方法

1.1 一般资料

方便选取在该院治疗的行冠状动脉搭桥手术患者198例为研究对象，随机分为对照组与观察组，每组99例。……