冠状动脉旁路移植术后并发房颤的危险因素分析(1)
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[摘要] 目的 探讨冠状动脉旁路移植术后并发房颤的危险因素。 方法 选取2006年1月～2012年1月在我院行冠状动脉旁路移植术的患者300例，采用回顾性研究的方法，将300例患者分为AF组32例和非AF组268例。比较两组的性别、年龄、病史以及术前使用β受体阻滞剂、是否体外循环、术后呼吸机辅助时间等，确定AF的可能危险因素。 结果 年龄≥65岁；术前合并高血压；左房内径≥40mm；体位循环时间、呼吸机辅助时间过长、未使用β受体阻滞剂均为CABG患者术后发生AF的相关危险因素。 结论 针对上述危险因素采取积极的预防措施，有利于术后疾病的恢复。
[关键词] 冠状动脉旁路移植术；房颤；危险因素
[中图分类号] R654.2 [文献标识码] B [文章编号] 1673—9701(2012)26—0046—02
The risk factors of coronary artery bypass grafting atrial fibrillation
TIAN Zhenyu LIANG Zhiqiang ZHU Rujun WANG Jianwei
Cardiothoracic Surgery，Henan Provincial Chest Hospital，Zhengzhou 450003， China
[Abstract] Objective To investigate the coronary artery bypass graft postoperative complication of atrial fibrillation risk factors. Methods From January 2006 to January 2012， retrospective analyis patients with coronary artery bypass graft surgery in our hospital 300 cases， were divided into the AF group with 32 cases and non—AF group with 268 cases. gender， age， medical history， and surgery before the use of β—blockers， whether cardiopulmonary bypass， postoperative mechanical ventilation time， to determine possible risk factors in AF were compared between two groups. Results Age ≥ 65 years； preoperative hypertension； left atrial diameter ≥ 40mm； position cycle time， ventilation time was too long， and not used β—blockers were the risk of factors of CABG patients with postoperative AF. Conclusion For these risk factors，we should take proactive and preventive measures to the postoperative recovery of the disease.
[Key words] Coronary artery bypass grafting； Atrial fibrillation； Risk factors
房颤(AF)是冠状动脉旁路移植术(coronary artery bypass grafting，CABG)后最常见的并发症之一，术后发生房颤通常导致血液动力学不稳定、心功能下降且延长术后监护室的停留时间，增加住院费用[1]。本文旨在探讨冠状动脉旁路移植术后并发房颤的危险因素 ......
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