Evaluation of the Treatment Effect of Off-pump Coronary Artery Bypass Surgery and Summary of the Nursing Care in the Treatment_West China Medical Journal

Authors：

 CHENGui-lan , FUBing ,  MILi-mei

Operation Room, Affiliated Hospital of Guiyang Medical College, Guiyang, Guizhou 550004, P. R. China;

Corresponding?author：

MILi-mei, Email: meilm1222@medmail.com.cn

Keywords：

Coronary heart disease; Off-pump; Coronary artery bypass; Nursing

DOI：

10.7507/1002-0179.20140225

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the clinical efficacy of off-pump coronary artery bypass grafting, and summarize the experience of nursing care in the treatment. Methods We retrospectively analyzed the clinical data of 25 patients undergoing off-pump coronary artery bypass surgery between January 2010 and December 2012. The therapeutic effect of the surgical method and the care management measures were summarized and analyzed. Results All the operations were successful without any deaths. The Mean operation time was (209.85±38.41) miniutes; Blood infusion volume averaged (1 311.23±423.70) mL; Drainage volume was (491.98±142.46) mL; The mean ICU monitoring time was (4.22±1.23) days; Hospitalization lasted for (10.10±1.89) days; And the mean number of bypass was 4.00±0.51. Two patients had high temperature and coughing after surgery, and were cured through intravenous dripping and atomization sputum suction. Two had slight injury infection and were controlled with antibiotics. Two could not endure the pain which was relieved by sauteralgyl. One patient with thoracic pain due to neural stimulation was relieved by glycerin trinitrate. Conclusion The off-pump coronary artery bypass surgery is advantageous in having less trauma, less bleeding, shorter hospital stay and lower hospital costs. The preoperative, intraoperative and postoperative care should be prepared to ensure the smooth implementation of the surgery and improve therapeutic effect.

Citation： CHENGui-lan, FUBing, MILi-mei. Evaluation of the Treatment Effect of Off-pump Coronary Artery Bypass Surgery and Summary of the Nursing Care in the Treatment. West China Medical Journal, 2014, 29(4): 748-750. doi: 10.7507/1002-0179.20140225 Copy

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9.	梁繼娟, 李果明, 諸蕊玉, 等. 冠狀動脈旁路移植術后躁動的原因分析及預防對策[J]. 國際護理學雜志, 2007, 26(6):570-572.
10.	張力, 白振祥, 萬峰, 等. 45例非體外循環下冠狀動脈搭橋術的圍術期處理[J]. 河北醫藥信息, 2000, 8(10):26-29.
11.	姜翠清, 宋云林, 喬峻. 低射血分數患者非體外循環下冠狀動脈搭橋的術后護理[J]. 護理學報, 2009, 16(11B):43-46.
12.	庾華東, 陶涼, 陳緒發. 低左心室射血分數冠心病患者冠狀動脈旁路移植術[J]. 中國動脈硬化雜志, 2009, 17(3):232.

1. 郭加強, 吳清玉. 心臟外科護理學[M]. 北京:人民衛生出版社, 2003:7012-7013.
2. Arom AV, Flavin TF, Emery Rw, et al. Surgical steps toward complete revascularization in off-pump coronary bypass[J]. Asian Cardiovasc Thorac Atin, 2002, 10(3):201-205.
3. 方雪玲, 章渭方, 蒲其斌. 冠脈搭橋與瓣膜置換術后肺功能的比較[J]. 浙江預防醫學, 2002, 14(10):8-9.
4. 言翊光, 王東進, 武忠, 等. 31例急診冠脈搭橋分析[J]. 中國醫藥導報, 2009, 6(91):71-72.
5. 鄭華, 王學民, 胡麗琴. 體外循環與非體外循環下冠脈搭橋手術的臨床研究[J]. 臨床和實驗醫學雜志, 2009, 8(10):93-94.
6. 彭湘洪, 康松濤, 楊適圓, 等. 非體外循環冠脈搭橋術86例臨床分析[J]. 現代中西醫結合雜志, 2009, 18(4):388-389.
7. 仇有生, 李淑. 非體外循環下冠狀動脈搭橋術54例分析[J]. 中國誤診學雜志, 2009, 9(1):169.
8. 王海燕, 丁霞云, 張衛萍. 非體外循環下冠狀動脈搭橋術后病人的護理[J].護理研究, 2007, 21(4):988-989.
9. 梁繼娟, 李果明, 諸蕊玉, 等. 冠狀動脈旁路移植術后躁動的原因分析及預防對策[J]. 國際護理學雜志, 2007, 26(6):570-572.
10. 張力, 白振祥, 萬峰, 等. 45例非體外循環下冠狀動脈搭橋術的圍術期處理[J]. 河北醫藥信息, 2000, 8(10):26-29.
11. 姜翠清, 宋云林, 喬峻. 低射血分數患者非體外循環下冠狀動脈搭橋的術后護理[J]. 護理學報, 2009, 16(11B):43-46.
12. 庾華東, 陶涼, 陳緒發. 低左心室射血分數冠心病患者冠狀動脈旁路移植術[J]. 中國動脈硬化雜志, 2009, 17(3):232.

West China Medical Journal

Evaluation of the Treatment Effect of Off-pump Coronary Artery Bypass Surgery and Summary of the Nursing Care in the Treatment

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