摘要
目的探讨非体外循环下冠状动脉旁路移植术(OPCAB)术后心房房颤(AF)发生率及相关危险因素。方法观察312例OPCAB患者,对术后心房颤动发生情况进行监测,并将患者分为心房颤动组和非心房颤动组,对术前、术中和术后的相关因素进行分析,从而筛选出易致心房颤动的有关因素。结果 OPCAB术后心房颤动的发生率为15.7%,高龄、高血压、急诊手术、血管桥数、术后早期没及时用β受体阻滞剂、血钾浓度是术后心房颤动的危险因素。结论 OPCAB术后AF的发生较普遍,围术期需进行风险评估,对高危患者进行干预,以减少术后心房颤动的发生。
Objective To investigate the incidence of atrial fibrillation（AF） in patieats after off-pump coronary artery bypass（OPCAB） and try to find out the related risk factors of AF. Methods 312 patients undergoing OPCAB were enrolledin out study who were grouped on basis of whether Af occurred. AF after operation was monitored, The preoperatiue,intraoperative and postoperative related factors were investigated,from which high risk factors of AF were screened with statistic inethods. Results The incidence of OPCAB is 15.7%. Advanced age,hypertensiou,emergeucy procedures,graftnumbers, β-blockers habing not been gavend in time after operation and low blood potassium were the risk factors of AF after OPCAB. Conclusions The incidence of AF post OPCAB are relatively high.Risk evaluation should be taken dure perioperater period and the high risk group should be interbened promptly to decreade AF occurrence.
出处
《中国医药指南》
2010年第13期175-177,共3页
Guide of China Medicine
