实用老年医学

实用老年医学 ›› 2021, Vol. 35 ›› Issue (12): 1246-1248.doi: 10.3969/j.issn.1003-9198.2021.12.009

• 临床研究 • 上一篇    下一篇

OPCAB手术边缘期心血管风险与SYNTAX评分相关性分析

焦慧慧, 张剑英, 冯建萍, 管玉珍   

  1. 210029 江苏省南京市,南京医科大学第一附属医院心脏大血管外科
  • 收稿日期:2021-01-18 出版日期:2021-12-20 发布日期:2021-12-28
  • 通讯作者: 张剑英,Email:jynjcn@163.com

Correlation between SYNTAX score and edge time cardiovascular risk in elderly patients receiving OPCAB

JIAO Hui-hui, ZHANG Jian-ying, FENG Jian-ping, GUAN Yu-zhen   

  1. Department of Cardiology and Macrovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2021-01-18 Online:2021-12-20 Published:2021-12-28

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摘要： 目的 探讨老年非体外循环冠状动脉旁路移植术(OPCAB)病人手术边缘期心血管不良事件(MACE)发生风险与SYNTAX评分之间的相关性。 方法 回顾性分析我院2019年1月至2020年12月650例行OPCAB的老年冠心病病人;其中SYNTAX评分为低中危病人319例(A组),高危病人331例(B组),对比2组病人手术边缘期MACE发生率,分析SYNTAX评分与手术边缘期MACE之间的相关性。 结果 B组心绞痛(10.3%比3.4%,P＜0.05)、恶性心律失常(4.2%比0.9%,P＜0.05)以及MACE(21.1%比6.5%,P＜0.05)发生率明显高于A组,术中需要主动脉内球囊反搏(IABP)支持(6.0%比1.9%,P＜0.05)、体外膜肺(ECMO)支持(3.6%比0.9%,P＜0.05)的比例明显高于A组。 结论 SYNTAX评分为高危的病人手术边缘期更易发生MACE。

关键词: 非体外循环冠状动脉旁路移植术, 心血管不良事件, SYNTAX评分, 相关性分析

Abstract: Objective To investigate the correlation of edge time (ET)cardiovascular risk and SYNTAX score in the elderly patients receiving off-pump coronary artery bypass (OPCAB). Methods A retrospective analysis was performed on 650 elderly patients who received OPCAB in our hospital from January 2019 to December 2020. They were divided into group A (n=319) with low and moderate SYNTAX score and group B (n=331) with high SYNTAX score. The correlation between the major cardiovascular adverse events (MACE)and SYNTAX score was analyzed. Results The incidence rate of angina(10.3% vs 3.4%,P＜0.05), malignant arrhythmia(4.2% vs 0.9%,P＜0.05)and MACE(21.1% vs 6.5%,P＜0.05)in group B was significantly higher than that in group A.The percentage of the patients receiving intra-aortic ballooncounterpulsation(IABP) (6.0%vs 1.9%,P＜0.05) and extracorporeal membrace oxygenation(ECMO) (3.6% vs 0.9%,P＜0.05 )in group B was higher than that in group A. Conclusions The patients with high level of SYNTAX score are more likely to suffer from MACE at ET of OPCAB.

Key words: off-pump coronary artery bypass, major adverse cardiovascular events, SYNTAX score, correlation analysis

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