中国体外循环杂志Issue(4)：204-208,5.DOI:10.13498/j.cnki.chin.j.ecc.2015.04.03
术前预防性应用主动脉内球囊反搏对高危患者非体外循环冠状动脉旁路移植术后心肌标志物和乳酸的影响
The effect of preoperative prophylactic use of intraa-ortic balloon pump on my-ocardial biomarker and lactate in coronary artery diease patients with low left ventricular function undergoing off-pump coronary bypass grafting
王金宏 1杨峰 1江春景 1郝星 1刑智辰 1徐博 1杜中涛 1邢家林 1侯晓彤1
作者信息
- 1. 100029 北京，首都医科大学附属北京安贞医院体外循环及机械辅助科，北京市心肺血管疾病研究所
- 折叠
摘要
Abstract
Objective To explore the effect of preoperative prophylactic use of intraa-ortic balloon pump on myocardial bio⁃markers and lactate after off-pump artery bypass grafting in the high-risk coronary diease patients. Methods Clinical data of 284 crit⁃ical CAD patients who underwent off-pump coronary artery bypass grafting from January 2011 to December 2013 were retrospective ana⁃lysed.These patients were divided into two groups 132 patients in IABP group, and 152 patients in control group. The postoperative CK⁃MB,cTnI and lactate were compared between the two groups. Results The inhospital mortality was significantly lower in IABP groups. CKMB, cTnIlevels at 8 h,48 h,72 h postoperative than the control groupe ( P<0.05) andand the lactate level of IABP group was also lowerthan the control group at 12 h,24 h,36 h,48 h and 72 h ( P<0.05) . The postoperative hospital stay and total hospital stay were shorter in the IABP group( P<0.05).Transfusion amounts were significantly fewer in IABP groupe ( P<0.05). Conclusion Preoper⁃ative prophylactic use of IABP in the high-risk CAD patients can alleviate the postoperative myocardial injury,supress the rise of lactate level postoperative and reduce the inhospital mortality.Besides,it can improve postoperative recovery without increasing the incidence of complications.关键词
主动脉内球囊反搏/非体外循环冠状动脉旁路移植术/心肌标志物/乳酸/预防性Key words
Intraarotic balloon pump/Off-pump cornory artery bypass grafting/Myocardial biomarker/Lactate/Prophylactic引用本文复制引用
王金宏,杨峰,江春景,郝星,刑智辰,徐博,杜中涛,邢家林,侯晓彤..术前预防性应用主动脉内球囊反搏对高危患者非体外循环冠状动脉旁路移植术后心肌标志物和乳酸的影响[J].中国体外循环杂志,2015,(4):204-208,5.
