Journal of Jilin University(Medicine Edition) ›› 2022, Vol. 48 ›› Issue (4): 1045-1050.doi: 10.13481/j.1671-587X.20220427
• Clinical medicine • Previous Articles Next Articles
Haixing LIAN,Wei WANG(
),Baisong LIN,Chen CHEN,Xuefeng SUN,Zhe LI
Received:2022-01-21
Online:2022-07-28
Published:2022-07-26
Contact:
Wei WANG
E-mail:wangwei820419@jlu.edu.cn
CLC Number:
Haixing LIAN,Wei WANG,Baisong LIN,Chen CHEN,Xuefeng SUN,Zhe LI. Application of Del Nido cardioplegic in coronary artery bypass grafting[J].Journal of Jilin University(Medicine Edition), 2022, 48(4): 1045-1050.
Tab. 1
Baseline characteristics of patients in two groups"
| Group | n | Age(year) | Weigh(m/kg) | Smoke [n(η/%)] | Pulmonary insufficiency [n(η/%)] | Diabetes [n(η/%)] | Hypertension [n(η/%)] | Cerebrovascular disease [n(η/%)] |
|---|---|---|---|---|---|---|---|---|
| DN | 30 | 61.23±7.44 | 72.36±11.64 | 15(50.0) | 9(30.0) | 5(16.7) | 19(63.3) | 13(43.3) |
| BC | 21 | 62.52±7.31 | 69.19±12.11 | 11(52.3) | 8(38.0) | 6(28.6) | 14(66.7) | 11(52.3) |
| P | 0.542 | 0.350 | 0.867 | 0.546 | 0.250 | 0.806 | 0.524 | |
| Group | n | Preoperative Cr [cB /(μmol·L-1)] | Previous PCI [n(η/%)] | Preoperative LVEF(η/%) | NHYA classification[n(η/%)] | |||
| Ⅰ-Ⅱ | Ⅲ | Ⅳ | ||||||
| DN | 30 | 83.30±27.50 | 6(20.0) | 61.30±11.11 | 6(20.0) | 17(56.7) | 7(23.3) | |
| BC | 21 | 87.24±31.31 | 5(23.8) | 56.53±8.50 | 6(28.6) | 17(80.9) | 5(23.8) | |
| P | 0.636 | 0.503 | 0.105 | 0.749 | ||||
Tab.2
Observation indicators of patients in operation in two groups"
| Group | n | CBP time (t/min) | ACC (t/min) | Cardioplegia volume(V/mL) | Number of perfusion |
|---|---|---|---|---|---|
| DN | 30 | 122.47±43.10 | 82.30±32.00 | 1 000.00±101.71 | 1.10±0.40 |
| BC | 21 | 147.00±55.42 | 89.95±20.94 | 2 916.67±727.04 | 2.61±0.67 |
| P | 0.077 | 0.353 | <0.01 | <0.01 | |
| Group | n | Operative time(t/min) | Plasma | ||
| DN | 30 | 429.00±106.21 | 1.07±1.70 | 231.67±262.11 | 29(96.7) |
| BC | 21 | 446.00±115.20 | 2.40±2.66 | 620.00±263.34 | 11(52.4) |
| P | 0.585 | 0.033 | <0.01 | <0.01 |
Tab.3
Blood gas analysis indicators of patients in two groups before and after CPB"
| Group | n | K+[cB/(mmol·L-1)] | Glu[cB/(mmol·L-1)] | HCT(η/%) | ||
|---|---|---|---|---|---|---|
| DN | 30 | |||||
| Before CBP | 4.09±0.57 | 7.57±2.37 | 34.80±7.66 | 1.24±0.67 | 105.36±27.93 | |
| After CBP | 3.79±0.63 | 9.38±2.45 | 24.43±5.82 | 4.45±2.82 | 71.10±24.83 | |
| BC | 21 | |||||
| Before CBP | 3.88±0.53 | 7.90±2.49 | 33.90±6.37 | 1.29±0.67 | 106.60±17.37 | |
| After CBP | 4.09±0.64 | 10.10±3.43 | 24.14±4.67 | 4.28±2.49 | 73.00±12.17 |
Tab. 4
Postoperative clinical detection indicators of patients in the two groups"
| Group | n | In-hospital day (t/d) | Cr [cB/(μmol·L-1)] | IABP [n(η/%)] | |||
|---|---|---|---|---|---|---|---|
| DN | 30 | 1.21±0.36 | 99.86±51.33 | 26.23±10.65 | 11.40±4.81 | 101.68±45.03 | 5(16.7) |
| BC | 21 | 1.28±0.35 | 97.05±36.10 | 24.67±8.94 | 11.90±4.81 | 103.03±41.09 | 2(9.5) |
| P | 0.494 | 0.830 | 0.584 | 0.714 | 0.913 | 0.685 | |
| Group | n | POAF[n(η/%)] | PMI[n(η/%)] | Neurological complication [n(η/%)] | Infections [n(η/%)] | Rei | Reoperation [n(η/%)] |
| DN | 30 | 9(30.0) | 2(6.7) | 3(10.0) | 4(13.3) | 2(6.7) | 0(0.0) |
| BC | 21 | 2(9.5) | 0(0.0) | 5(23.8) | 0(0.0) | 0(0.0) | 2(9.5) |
| P | 0.098 | 0.506 | 0.249 | 0.134 | 0.506 | 0.165 |
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