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目的研究糖尿病患者心脏搭桥的效果。方法 2007年1月-2010年2月,我院17例接受冠状动脉搭桥术的患者中,12例是DM患者,对照组5例,均采用心脏不停跳冠脉搭桥术。两组进行感染包括呼吸道感染和尿路感染、术后住院时间和死亡;术后血凝指标的差异的比较。结果糖尿病组的呼吸道感染、尿路感染、住院时间及死亡人数均高于非糖尿病组,t值/χ2分别为:4.4、4.4、3.2、3.6。P值均小于0.05。糖尿病组和非糖尿病组患者心脏搭桥术后的凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)、凝血酶时间测定(TT)以及D二聚体(DD)的差异均具有统计学意义(P<0.05)。结论糖尿病患者心脏搭桥的效果没有非糖尿病患者好。但由于病例人数较少,还需要进一步研究。
Objective To study the effect of heart bypass in diabetic patients. Methods From January 2007 to February 2010, 17 patients undergoing coronary artery bypass grafting in our hospital were enrolled. Twelve patients were DM patients and 5 patients in control group. All patients underwent coronary artery bypass grafting. Two groups of infections including respiratory tract infection and urinary tract infection, postoperative hospital stay and death; postoperative differences in the indicators of blood coagulation. Results In the diabetic group, respiratory tract infection, urinary tract infection, hospital stay and death were higher than those in the non-diabetic group. The t values / χ2 were 4.4, 4.4, 3.2 and 3.6 respectively. P values were less than 0.05. Prothrombin time (PT), activated partial thromboplastin time (APTT), fibrinogen (FIB), thrombin time (TT), and D-dimer after cardiac bypass in diabetic and nondiabetic patients DD) were statistically significant (P <0.05). Conclusion The effect of heart bypass in diabetic patients is better than non-diabetic patients. However, due to the small number of cases, further research is needed.