中国医药科学2025，Vol.15Issue(2)：79-83,5.DOI:10.20116/j.issn2095-0616.2025.02.19
冠状动脉旁路移植术后发生低心排综合征危险因素的meta分析
Meta-analysis of risk factors of low cardiac output syndrome after coronary artery bypass grafting
摘要
Abstract
Objective To investigate the risk factors of low cardiac output syndrome(LCOS)after coronary artery bypass grafting(CABG)by meta-analysis.Methods Relevant documents in Chinese and foreign languages were searched,screened,extracted,evaluated and analyzed by meta-analysis.Results Finally,14 articles were included,involving data from 12 605 patients.The meta-analysis results showed that there was no statistically significant difference(P>0.05)in 3 vessel lesions(OR=1.12,95%CI[0.28,4.47]).Meta analysis showed that the risk factors for LCOS after CABG were in the following.They were arrhythmia(OR=7.22,95%CI[4.93,10.58]),myocardial infarction(OR=2.28,95%CI[1.65,3.14]),diabetes(OR=1.72,95%CI[1.45,2.04]),cerebral infarction(OR=4.63,95%CI[2.01,10.65]),emergency surgery(OR=2.61,95%CI[2.24,3.04]),acute renal failure(OR=3.80,95%CI[2.16,6.70]),left ventricular ejection low score(OR=3.50,95%CI[2.17,5.66]),age≥60 years(OR=2.47,95%CI[1.71,3.56]),incomplete revascularization(OR=0.33,95%CI[0.24,0.46]),left main artery disease(OR=1.97,95%CI[1.11,3.51]),high creatinine(WMD=15.94,95%CI[7.26,24.61]),large intraoperative hemorrhage(WMD=189.07,95%CI[148.07,230.07])and long operation time(WMD=0.68,95%CI[0.45,0.90]).Conclusion Based on the existing evidence,13 effective risk factors of LCOS after CABG were obtained by meta-analysis.关键词
冠状动脉旁路移植术/低心排综合征/危险因素/meta分析Key words
Coronary artery bypass grafting/Low cardiac output syndrome/Risk factors/Meta-analysis分类
医药卫生引用本文复制引用
姜若曦,杨少娣,马丽慧,曾海丽,黄丽茹,陆惠慧..冠状动脉旁路移植术后发生低心排综合征危险因素的meta分析[J].中国医药科学,2025,15(2):79-83,5.基金项目
广东省清远市社会发展领域自筹经费科技计划项目(200727104561374). （200727104561374）
