刘戈, 沈崇文, 杨少峰, 张圣强, 常明明, 石宇, 刁文杰, 孟金金, 施超. 可吸收血管封合医用胶在单侧胸廓内动脉CABG中的临床应用:单术者围手术期经验总结[J]. 蚌埠医学院学报, 2023, 48(9): 1203-1207. DOI: 10.13898/j.cnki.issn.1000-2200.2023.09.005
    引用本文: 刘戈, 沈崇文, 杨少峰, 张圣强, 常明明, 石宇, 刁文杰, 孟金金, 施超. 可吸收血管封合医用胶在单侧胸廓内动脉CABG中的临床应用:单术者围手术期经验总结[J]. 蚌埠医学院学报, 2023, 48(9): 1203-1207. DOI: 10.13898/j.cnki.issn.1000-2200.2023.09.005
    LIU Ge, SHEN Chong-wen, YANG Shao-feng, ZHANG Sheng-qiang, CHANG Ming-ming, SHI Yu, DIAO Wen-jie, MENG Jin-jin, SHI Chao. Clinical application of absorbable medical vascular sealant in coronary artery bypass grafting of unilateral internal thoracic artery: experience of a single operator[J]. Journal of Bengbu Medical College, 2023, 48(9): 1203-1207. DOI: 10.13898/j.cnki.issn.1000-2200.2023.09.005
    Citation: LIU Ge, SHEN Chong-wen, YANG Shao-feng, ZHANG Sheng-qiang, CHANG Ming-ming, SHI Yu, DIAO Wen-jie, MENG Jin-jin, SHI Chao. Clinical application of absorbable medical vascular sealant in coronary artery bypass grafting of unilateral internal thoracic artery: experience of a single operator[J]. Journal of Bengbu Medical College, 2023, 48(9): 1203-1207. DOI: 10.13898/j.cnki.issn.1000-2200.2023.09.005

    可吸收血管封合医用胶在单侧胸廓内动脉CABG中的临床应用:单术者围手术期经验总结

    Clinical application of absorbable medical vascular sealant in coronary artery bypass grafting of unilateral internal thoracic artery: experience of a single operator

    • 摘要:
      目的探讨可吸收血管封合医用胶在单侧胸廓内动脉冠状动脉旁路移植术(CABG)中的止血效果及对桥血管即时流量的影响。
      方法选取冠状动脉粥样硬化性心脏病病人60例作为研究对象,择期在全身麻醉体外循环下行应用单侧胸廓内CABG。根据术中是否使用可吸收血管封合医用胶,将病人分为观察组和对照组,各30例。比较观察组病人术中使用可吸收血管封合医用胶前后桥血管即时血流参数;比较2组病人的围手术期相关指标。
      结果观察组病人术中使用可吸收血管封合医用胶前后平均血流量、搏动指数差异均无统计学意义(P>0.05)。观察组病人手术时间及术后24、48 h引流量均少于对照组(P<0.05~P<0.01)。
      结论可吸收血管封合医用胶应用于单侧胸廓内动脉的CABG中,对桥血管的即时血流没有影响,可有效止血,减少术后引流量,缩短手术时间。

       

      Abstract:
      ObjectiveTo investigate the hemostatic effect of absorbable medical vascular sealant in coronary artery bypass grafting of unilateral internal thoracic artery and its influence on the transit-time flow of the bridge vessel.
      MethodsSixty patients with coronary atherosclerosis heart disease were selected as study subjects, who were scheduled with coronary artery bypass grafting of unilateral internal thoracic artery in cardiopulmonary bypass under general anesthesia.The patients were divided into observation group and control group according to whether absorbable medical vascular sealant was used during surgery, with 30 cases in each group.The transit-time blood flow parameters of the bridge vessel of patients during surgery before and after the use of absorbable medical vascular sealant in the observation group were compared, and related indicators during perioperative period of patients in the two groups were compared.
      ResultsThere were no statistically significant differences in average blood flow and pulsatility index of patients in the observation group before and after the use of absorbable medical vascular sealant during surgery (P>0.05).The operation time, postoperative 24-hour drainage volume and postoperative 48-hour drainage volume of patients in the observation group were lower than those in the control group (P<0.05 to P<0.01).
      ConclusionsThe absorbable medical vascular sealant has no effect on the transit-time blood flow of the bridge vessel during coronary artery bypass grafting of unilateral internal thoracic artery, and can effectively stop bleeding, reduce postoperative drainage volume and shorten the operation time.

       

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