摘要
目的 通过心肌肌钙蛋白 I(c Tn I)浓度检测进行非体外循环冠状动脉旁路移植术 (OPCAB)与常见冠状动脉旁路移植术 (CABG)的心肌保护及疗效评价。方法 OPCAB组 3 6例 ,CABG组 3 6例 (对照组 ) ,对比两组术前及术后各时点心肌肌钙蛋白水平 ,并评价早期临床效果。结果 两组临床资料无差异 ,OPCAB组中 c T-n I的平均血浆浓度在术后基本正常 ,而对照组则有升高 ,且 OPCAB组临床效果也较对照组优越。结论 OPCAB组心肌保护效果比 CABG组好 ,术后早期心脏功能优于
Objective To evaluate the advantages of off pump coronary artery bypass (OPCAB) through detection of cardial troponin I.Methods Thirty six cases of OPCAB (OPCAB group) were compared to 36 cases of coronary artery bypass grafting (CABG;control group).The plasma level of cardial troponin was observed in both groups.And the early postoperative clinical results were assessed.Results No significant difference was observed in basic clinical data in both groups.The mean level of plasma cardial troponin I was normal in OPCAB group in the 4?8?16?24 h,2?4?8 d after operation.The frequency of positive changes of ECG is less in OPCAB group than that in control group.Conclusion It seems that OPCAB provide better myocardial protection and better early results than CABG.
出处
《山西医药杂志》
CAS
2003年第1期26-27,共2页
Shanxi Medical Journal
关键词
冠状动脉旁路移植术
心肌肌钙蛋白
心肌保护
Coronary artery bypass grafting
Cardial troponin
Myocardium protection
