[1]刘宸铖,李畑波,肖颖彬,等.心脏瓣膜置换患者围术期使用主动脉球囊反搏的效果—— 一项倾向性评分匹配对比研究[J].第三军医大学学报,2019,41(05):478-481.
 LIU Chencheng,LI Tianbo,XIAO Yingbin,et al.Clinical efficiency of intra-aortic balloon counterpulsation for heart valve replacement patients in perioperative period: a comparative study of propensity score matching[J].J Third Mil Med Univ,2019,41(05):478-481.
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心脏瓣膜置换患者围术期使用主动脉球囊反搏的效果—— 一项倾向性评分匹配对比研究(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
41卷
期数:
2019年第05期
页码:
478-481
栏目:
临床医学
出版日期:
2019-03-15

文章信息/Info

Title:
Clinical efficiency of intra-aortic balloon counterpulsation for heart valve replacement patients in perioperative period: a comparative study of propensity score matching
作者:
陆军军医大学(第三军医大学)第二附属医院心血管外科,全军心血管外科研究所
Author(s):
LIU Chencheng LI Tianbo XIAO Yingbin XU Bo WANG Xuefeng WANG Yong

Institute of Cardiovascular Surgery, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China

关键词:
 
Keywords:
intra-aortic balloon pump heart valve replacement low cardiac output syndrome postoperative complications
分类号:
R181.32; R540.46; R542.5
文献标志码:
A
摘要:

目的 采用倾向性评分匹配对比研究方法(propensity score matching,PSM)探讨主动脉球囊反搏(intra-aortic ballon pump,IABP)用于瓣膜置换患者围术期中临床效果。方法 纳入2014年1月至2016年12月我科围术期使用IABP心脏瓣膜置换患者43例作为观察组[男性21例,女性22例,年龄33~73(52.5±9.8)岁];采用倾向性评分匹配方法从2013年行心脏瓣膜置换但未使用IABP的1 487例病例中选出与观察组最匹配的43例作为对照组[男性20例,女性23例,年龄31~72(52.3±11.7)岁]。对比分析两组患者围术期死亡率、呼吸机辅助时间、ICU停留时间及相关术后并发症等指标。结果 与对照组相比,观察组围手术期死亡率 [7例(16.3%) vs 5例(11.6%),P=0.137],透析例数[3例(7%)vs 6例(14%),P=0.062] 差异无统计学意义。气管插管时间[(66.02±31.2)h vs (79.27±17.1)h,P<0.05]、低心排综合征发生频率[7例(4.7%) vs 16例(37.2%),P<0.05]显著低于对照组,差异有统计学意义。结论 IABP能减少心脏瓣膜置换术患者术后并发症发生率,不增加围术期死亡率。

Abstract:

Objective To evaluate the clinical efficiency of intra-aortic balloon pump (IABP) in the perioperative period for the patients undergoing heart valve replacement by propensity score matching (PSM). Methods During January 2014 to December 2016,43 patients treated with IABP in perioperative period in our institute were recruited and assigned into observation group. They were 21 males and 22 females, and at an average age of 52.5±9.8 (33~73) years. Another 43 patients (20 males and 23 females, aged 31~72 years, averagely 52.3±11.7 years) who underwent valve replacement but not IABP were selected from 1 487 cases of heart valve replacement patients in 2013 by PSM to balance intraoperative baseline data. The perioperative mortality, duration of assisted ventilation, length of ICU stay and incidences of postoperative complications were analyzed and compared between the 2 groups. Results There were no statistical differences in perioperative mortality [16.3% (7/43) vs 11.6% (5/43), P=0.137] and cases needing dialysis [7% (3/43) vs 14% (6/43), P=0.062] between the 2 groups. The observation group had statistically shorter time of endotracheal intubation (66.02±31.2 vs 79.27±17.1 h, P<0.05) and lower incidence of low cardiac output syndrome (4.7% vs 37.2%, P<0.05) than the other group. Conclusion IABP decreases the incidence rates of postoperative complications, but has no effect on the mortality in the patients undergoing heart valve replacement.

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更新日期/Last Update: 2019-03-05