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目的探讨行冠状动脉搭桥术(CABG)的冠心病患者ABO血型分布及其预后差异。方法回顾性分析行CABG的306例冠心病患者(A组)和2500例同期健康体检者(B组)的临床资料,分析两组A型、B型、O型及AB型分布情况及A组不同血型患者预后情况。结果 A组患者中A型比例高于B组(31.37%vs.25.28%)(P<0.05),而O型比例低于B组(32.03%vs.38.12%)(P<0.05)。A、B两组间B型和AB型比例差异无统计学意义(P>0.05)。A组患者在机械通气时间、住ICU时间及住院时间方面呈现A型>B型>O型>AB型趋势,但差异无统计学意义(P>0.05)。不同血型患者在感染、心房颤动、急性肾损伤、谵妄等方面的发生率均无统计学差异(P>0.05)。结论行CABG的冠心病患者A型比例高于健康人群,O型比例低于健康人群。各血型行CABG的冠心病患者在临床预后及并发症方面比较无统计学差异。
Objective To investigate the distribution and prognosis of ABO blood group in patients with coronary artery disease undergoing coronary artery bypass grafting (CABG). Methods The clinical data of 306 CABG patients with coronary heart disease (A group) and 2500 healthy subjects (B group) were retrospectively analyzed. The distribution of type A, type B, type O and type AB and type A Different blood group patients prognosis. Results The percentage of type A in group A was higher than that in group B (31.37% vs.25.28%) (P <0.05), while the percentage of type O was lower than that in group B (32.03% vs.38.12%) (P <0.05). There was no significant difference in the proportions of type B and type AB between A and B groups (P> 0.05). The patients in group A showed the trend of type A> type B> type O> type AB in terms of mechanical ventilation time, ICU stay time and hospital stay, but the difference was not statistically significant (P> 0.05). There was no significant difference in the incidence of infection, atrial fibrillation, acute kidney injury, delirium between different blood group patients (P> 0.05). Conclusion The proportion of type A coronary artery disease in patients with CABG is higher than that in healthy people, and the proportion of type O is lower than that in healthy people. The blood group CABG coronary heart disease patients in the clinical prognosis and complications no significant difference.