终末期肾脏病透析依赖患者冠状动脉旁路移植术围术期和近中期随访结果

发布时间：2018-01-08 23:00

本文关键词：终末期肾脏病透析依赖患者冠状动脉旁路移植术围术期和近中期随访结果　出处：《中国血液净化》2016年12期 　论文类型：期刊论文

【摘要】：目的随访终末期肾脏病(end stage renal disease,ESRD)透析依赖患者冠状动脉旁路移植术(coronary artery bypass grafting,CABG)围术期和近中期生存率,并分析相关影响因素。方法回顾性分析26例透析依赖的ESRD患者行CABG围术期和1、3、5年的生存率。生存率使用Kaplan-Meier生存曲线表示,生存率影响因素使用Log Rank(Mantel-Cox)分析。结果围术期死亡3例,死亡率11.5%。出院患者23例,随访时间(2.9±2.4)年。1年生存率90.0%,3年生存率没有该时间点的用2年近似76.9%,5年生存率54.7%。高血压是影响术后生存率的风险因素(Log Rankχ2=5.870,P=0.015)。结论 ESRD患者行CABG围术期死亡率高,术后近中期生存率不太满意,高血压是影响患者术后生存的危险因素。
[Abstract]:Objective to follow-up of end-stage renal disease (end stage renal disease, ESRD) dialysis dependent patients after coronary artery bypass grafting (coronary artery bypass grafting, CABG) perioperative and mid-term survival rate, and analyze the related factors. Methods Retrospective analysis of 26 cases of dialysis dependent ESRD patients during the perioperative period of CABG and 1,3,5 the survival rate. The survival rate of Kaplan-Meier using Log Rank survival curve indicated that the factors affecting the survival rate (Mantel-Cox) analysis. The results of perioperative death in 3 cases, the mortality rate of 11.5%. patients 23 cases, follow-up time (2.9 + 2.4).1 years survival rate was 90%, 3 year survival rate is not the point of time by 2 approximately 76.9% years, 5 years survival rate of 54.7%. hypertension is the risk factors affecting postoperative survival rate (Log Rank x 2=5.870, P=0.015). Conclusion ESRD CABG in patients with perioperative mortality, postoperative survival rate is not satisfied with the recent mid-term, hypertension is affected The risk factors of postoperative survival.

【作者单位】：北京大学第一医院心脏外科;
【分类号】：R692.5;R654.2
【正文快照】： 冠状动脉旁路移植术(coronary artery by-pass grafting,CABG)是治疗严重冠状动脉粥样硬化性心脏病(以下简称冠心病)的有效手段,而透析依赖的终末期肾脏病(end stage renal disease,ESRD)患者由于弥漫性冠状动脉粥样硬化、主动脉钙化、贫血、血小板功能低下以及受损的水电解质

【相似文献】