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首页> 外文期刊>Journal of Thoracic Disease >A propensity score analysis on the effect of on-pump versus off-pump coronary artery bypass grafting for patients with coronary artery disease
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A propensity score analysis on the effect of on-pump versus off-pump coronary artery bypass grafting for patients with coronary artery disease

机译：倾向性冠状动脉搭桥术与非倾向性冠状动脉搭桥术对冠心病患者的倾向性得分分析

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Aim: The aim of this retrospective observational study was to investigate the effect of on-pump versus offpump coronary artery bypass grafting (CABG) for patients with coronary artery diseases (CAD). Methods: A retrospective observational study was performed using a propensity score analysis in 290 consecutive patients undergoing CABG between April 2009 and March 2014, of them, 54 patients undergoing off-pump CABG (OPCABG) were matched with 54 patients undergoing on-pump CABG (ONCABG) by propensity score. The perioperative complications and hospital mortality were documented. Results: Preoperative characteristics were comparable in both groups following propensity matching. Postoperative myocardial infarction (MI) incidence was lower in OPCABG group than in ONCABG group (3.7% vs. 14.8%, P=0.046); both hospital mortality and the major complications rates were similar in the two groups after propensity adjustment for preoperative characteristics. Conclusions: The perioperative complications are similar in both off-pump and on pump CABG groups, the short-term effect of OPCABG is similar to that of ONCABG.
机译：目的：这项回顾性观察研究的目的是研究泵上与泵外冠状动脉搭桥术（CABG）对冠心病（CAD）患者的影响。方法：采用倾向评分分析对2009年4月至2014年3月连续290例接受CABG的患者进行回顾性观察研究，其中54例接受非泵CABG（OPCABG）的患者与54例接受泵上CABG（ ONCABG）。记录了围手术期并发症和医院死亡率。结果：倾向匹配后，两组的术前特征相当。 OPCABG组术后心肌梗死（MI）发生率低于ONCABG组（3.7％vs. 14.8％，P = 0.046）;调整术前特点后，两组的医院死亡率和主要并发症发生率相似。结论：非CABG组和非CABG组围手术期并发症相似，OPCABG的短期疗效与ONCABG相似。

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