| 贺海磊 王宏山 卫保华 陈海全 邵松海 李亚鸽 马治欣.主动脉球内囊反搏在心脏手术后心功能不全患者中的应用价值[J].,2016,16(23):4554-4557 |
| 主动脉球内囊反搏在心脏手术后心功能不全患者中的应用价值 |
| Clinical Value of Aortic Ball Balloo in the Application of Patients withCardiac Functional Insufficiency after Cardiac Surgery |
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| DOI： |
| 中文关键词: 主动脉球内囊反搏 心脏手术后 心功能不全 |
| 英文关键词: IABP Heart surgery Heart failure |
| 基金项目:河南省科技支撑计划项目（2010703041） |
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| 中文摘要: |
| 目的：探讨主动脉球内囊反搏置入在心脏手术后心功能不全患者中的临床应用价值。方法：收集我院收治的心脏术后患者
60 例，随机分为对照组和实验组，每组各30 例，患者均给予相应常规对症治疗，包括吸氧、强心、利尿、扩血管治疗，实验组患者在
对照组基础上给予主动脉球囊反搏置入。治疗结束后，对两组患者治疗前后的连续心输出量(CCO)、心脏指数(CI)、人氨基末端B
型脑钠肽前体(NT-proBNP)、中心静脉压(CVP)水平以及临床疗效进行检测并比较。结果：治疗后，两组患者的CCO以及CI 水平
与治疗前相比均升高(P<0.05)，NT-proBNP 以及CVP 水平均下降(P<0.05)；与对照组相比，实验组患者治疗后CCO以及CI 水平
较高，NT-proBNP以及CVP 水平较低(P<0.05)；实验组患者的治疗总有效率与对照组患者相比较高(P<0.05)。结论：主动脉球内囊
反搏植入能够显著升高心脏手术后心功能不全患者患者的心输出量，降低心脏后负荷，提高心脏功能，具有较好的临床疗效。 |
| 英文摘要: |
| Objective:To investigate the clinical application value of IABP in patients with cardiac functional insufficiency after
cardiac surgery.Methods:60 cases of cardiac surgery patients in our hospital were selected and randomly divided into the control group
and experimental group, 30 cases in each group, patients were given the corresponding conventional symptomatic treatment, including
oxygen, strong heart, diuretic, and dilation of blood vessels, On the basis of the control group, the patients in the experimental group were
given the aortic balloon pump. At the end of treatment, the continuous cardiac output quantity (CCO), cardiac index (CI), human N-terminal
pro-B-type natriuretic peptide precursor (NT proBNP), central venous pressure (CVP) level and clinical efficacy of both groups before
and after the treatment were detected and compared.Results:After treatment, the CCO and CI levels of both groups were increased
than those before treatment(P<0.05), while the NT proBNP and CVP levels were decreased (P<0.05); compared with the control group,
the CCO and CI levels of experimental group after treatment were higher, the NT proBNP and CVP levels were lower (P<0.05); the total
efficiency of experimental group were higher than that of the control group (P<0.05).Conclusion:Ball bursa of aortic counterpulsation
implantation could significantly increase the cardiac output, reduce the cardiac afterload, enhance the cardiac function of patients with
cardiac dysfunction after cardiac surgery. |
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