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[1]陈大鹏,贾绍斌,丛广志,等.重症冠心病患者住院期间IABP不同脱机策略的临床效果分析[J].宁夏医科大学学报,2013,(03):273-276.
 CHEN Da-peng,JIA Shao-bin,CONG Guang-zhi,et al.The Clinical Effect of the Different Intra-Aortic Balloon Pump Weaning Protocols during Hospitalization of the Patientswith Severe Coronary Artery Disease[J].Ningxia Medical University,2013,(03):273-276.
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重症冠心病患者住院期间IABP不同脱机策略的临床效果分析(PDF)
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《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2013年03期
页码:
273-276
栏目:
论著
出版日期:
2013-03-20

文章信息/Info

Title:
The Clinical Effect of the Different Intra-Aortic Balloon Pump Weaning Protocols during Hospitalization of the Patients with Severe Coronary Artery Disease
作者:
陈大鹏12 贾绍斌12 丛广志2 张 亮2
1.宁夏医科大学,银川 750004; 2.宁夏医科大学总医院心脏中心,银川 750004
Author(s):
CHEN Da-peng JIA Shao-bin CONG Guang-zhi ZHANG Liang
Heart Centre,the General Hospital of Ningxia Medical University,Yinchuan 750004
关键词:
主动脉球囊反搏泵 脱机 死亡率
Keywords:
intra-aortic balloon pump weaning mortality
分类号:
R543.2
DOI:
-
文献标志码:
A
摘要:
目的 比较重症冠心病患者主动脉气囊反搏泵采用不同反搏比脱机策略的临床效果差异。方法 研究收集2007年10月至2011年12月在我院行主动脉球囊反搏泵(intra aortic balloon pump,IABP)置入术的63例重症冠心病患者的临床资料,进行回顾性分析,比较1:1→1:2策略组与1:1→1:2→1:4策略组之间在全因死亡率、心血管相关死亡率、血肿和血栓栓塞发生之间的差异。结果 两组患者之间基线资料无明显差异,应用主动脉气囊反博泵的适应证构成无明显差异,两组患者脱机前药物使用相同,两组患者脱机时血流动力学参数相同。两组之间IABP置入术的并发症和死亡率无明显差异,但1:1→1:2→1:4策略组有增加住院时间趋势(P<0.05)。结论 1:1→1:2→1:4脱机较1:1→1:2脱机在血流动力学和死亡率方面无更多获益,但住院时间可能延长。
Abstract:
Objective To compare the clinical effect of the different Intra-Aortic Balloon Pump weaning protocols during hospitalization of the patients with severe coronary artery disease. Method Clinical information of 63 consecutive patients treated with IABP between October 2007 and December 2010 was retrospectively collected. The primary and secondary end-points were compared between groups used 1:1→1:2 and 1:1→1:2→1:4 weaning protocols. Results There was no significant difference in baseline, IABP indications, hemodynamic improvement, medications at initiation of weaning, complications and mortality between the two groups. 1:1→1:2→1:4 weaning increased significantly length of stay(P<0.05). Conclusions 1:1→1:2→1:4 weaning can not offer better benefits in hemodynamics and in-hospital mortality rates than 1:1→1:2weaning do. However, 1:1→1:2→1:4 weaning is associated with length of stay.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2012-06-08 作者简介:陈大鹏,男,副主任医师,硕士。E-mail:schatz188@foxmail.com 通信作者:贾绍斌,教授。E-mail:jsbxn@163.com
更新日期/Last Update: 2013-03-20