| 王岩,刘高利,孟纯阳.冠状动脉搭桥术后新发心房颤动危险因素临床分析[J].济宁医学院学报,2016,39(3):170-173 |
| 冠状动脉搭桥术后新发心房颤动危险因素临床分析 |
| Clinical analysis of new onset risk factors for postoperative atrial fibrillation after coronary artery bypass graft surgery |
| 投稿时间：2016-04-30 |
| DOI：10.3969/j.issn.1000-9760.2016.03.005 |
| 中文关键词: 心房颤动;冠脉搭桥;体外循环;非体外循环;危险因素 |
| 英文关键词: Atrial fibrillation;Coronary artery bypass graft;Cardiopulmonary bypass;Non cardiopulmonary bypass;Risk factor |
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| 中文摘要: |
| 目的 探讨冠状动脉搭桥(CABG)术后新发心房颤动(AF)的危险因素。方法 收集济宁医学院附属医院心脏外科2014年1月至2016年1月冠脉搭桥手术患者481例,根据术后4d内是否发生AF分为AF组和非AF组,比较两组临床资料,分析CABG术后AF的危险因素。结果 CABG术后AF发生率为10.2%(49例),其中89.8%的AF发生于术后3d内。单因素分析显示,AF组术后ICU停留时间、桥血管数量、高龄(≥70岁)患者比例、体外循环时间过长(≥110min)患者比例、左房内径增大(≥35mm)患者比例均显著高于非AF组。多因素Logistic回归分析显示高龄、体外循环时间过长、左房内径增大是CABG术后发生AF的独立危险因素。结论 高龄、体外循环时间过长、左房内径增大是CABG术后AF的独立危险因素。 |
| 英文摘要: |
| Objective To investigate risk factors of atrial fibrillation (AF) following coronary artery bypass graft (CABG) surgery.Methods The clinical data of 498 patients with coronary artery bypass graft surgery were collected in The Affiliated Hospital of Jining Medical University from Jan.2014 to Jan.2016 to see whether postoperative AF exists.All the the patients were divided into AF group and non-AF group who were analyzed for risk factors of AF following CABG.Results The rate of AF was 10.2%.AF occurred in 89.8% patients within 1~3 days after CABG.Univariate analysis showed that compared with the non AF group,the AF group had a longer stay time in ICU,a more number of the bridge vessels,a higher rate of patients whose age more than or equal to 70 years old,whose extracorporeal circulation time equal to or larger than 110min and whose left atrial diameter greater than or equal to 35mm (P= 0.009,0.005,0.021,0.002,0.025).Multivariate logistic regression analysis showed that older age,long time of extracorporeal circulation and left atrial enlargement were independent risk factors of AF following CABG (P= 0.001,0.004,0.001).Conclusion The incidence of AF after CABG is higher in patients with a longer stay time in ICU or a more number of the bridge vessels.Furthermore,older age,long time of extracorporeal circulation and left atrial enlargement were independent risk factors of AF following CABG.It is very important to understand the risk factors for the prevention of AF after CABG. |
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