葛娟娟,马燕兰,谷成晓,王茜.两种冠状动脉旁路移植术的临床效果及餐后血压和心率的比较.[J].中南医学科学杂志.,2020,(4):360-363.
两种冠状动脉旁路移植术的临床效果及餐后血压和心率的比较
Comparison of clinical efficacy and postprandial blood pressure and heart rate changes of two coronary artery by pass grafts
投稿时间:2020-01-20  修订日期:2020-04-26
DOI:10.15972/j.cnki.43-1509/r.2020.04.006
中文关键词:  冠状动脉旁路移植术  血压  心率
英文关键词:coronary artery bypass grafting  blood pressure  heart rate
基金项目:
作者单位
葛娟娟 解放军医学院心血管外科,北京 100039
解放军第128医院心血管外科,浙江 杭州 310000 
马燕兰 中国人民解放军总医院护理部,北京 100039 
谷成晓 解放军医学院心血管外科,北京 100039
解放军第128医院心血管外科,浙江 杭州 310000 
王茜 解放军医学院心血管外科,北京 100039
解放军第128医院心血管外科,浙江 杭州 310000 
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中文摘要:
      为了比较非体外循环冠状动脉旁路移植术(OCABG)和体外循环冠状动脉旁路移植术(CABG)术后患者的临床疗效及餐后血压和心率,回顾分析行冠状动脉旁路移植术患者181例的临床资料,其中,106例为非体外循环冠状动脉旁路移植术患者(OCABG组),75例为体外循环冠状动脉旁路移植术患者(CABG组)。结果显示,与CABG组比较,OCABG组总有效率显著增高(82.67% vs 95.28%); 与餐前相比,两组收缩压(SBP)、舒张压(DBP)和心率(HR)在餐后均有不同程度变化。结果说明,采用非体外循环冠状动脉旁路移植术治疗冠心病的临床效果更加显著,有利于维持患者餐后血压及心率的稳定。
英文摘要:
      To compare the clinical efficacy and postprandial changes in blood pressure and heart rate of patients after off-pump coronary artery bypass grafting (OCABG) and on-pump coronary artery bypass grafting (CABG), the clinical data of 181 patients who underwent coronary artery bypass grafting were retrospectively analyzed, including 106 patients who underwent off-pump coronary artery bypass grafting (OCABG group) and 75 patients who underwent on-pump coronary artery bypass grafting (CABG group). Results show that the total effective rate in OCABG group was significantly higher than that in CABG group (95.28% vs 82.67%). There were different changes in systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate(HR) in two groups before and after meal. In conclusion, the clinical efficacy of off-pump coronary artery bypass grafting is more effective in the treatment of coronary heart disease. It is beneficial to maintain the stability of postprandial blood pressure and heart rate in patients.
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