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性别对冠状动脉搭桥手术后快速康复的影响。

Effect of gender on fast-track recovery after coronary artery bypass graft surgery.

作者信息

Capdeville M, Lee J H, Taylor A L

机构信息

Department of Anesthesiology, University Hospitals of Cleveland/Case Western Reserve University, Cleveland OH 44106-5007, USA.

出版信息

J Cardiothorac Vasc Anesth. 2001 Apr;15(2):146-51. doi: 10.1053/jcan.2001.21933.

DOI:10.1053/jcan.2001.21933
PMID:11312470
Abstract

OBJECTIVE

To examine the effects of gender on time to extubation after coronary artery bypass graft (CABG) surgery and intensive care unit and hospital length of stay.

DESIGN

Retrospective study comparing outcomes as related to gender.

SETTING

Tertiary care university teaching hospital.

PARTICIPANTS

Consecutive patients (n = 561; 376 men, 185 women) undergoing CABG surgery between January 1995 and December 1997.

INTERVENTIONS

None.

MEASUREMENTS AND MAIN RESULTS

Early extubation was possible in 74% of men versus 64% of women (p = 0.03); length of stay was < or =5 days in 60% of men versus 48% of women (p = 0.008); overall postoperative length of stay was 5.7 days for men versus 6.5 days for women (p = 0.003); morbidity and mortality were not significantly different between groups.

CONCLUSION

Women undergoing CABG surgery with a standardized fast-track protocol have longer intubation times, intensive care unit length of stay, and hospital length of stay than their male counterparts.

摘要

目的

研究性别对冠状动脉搭桥术(CABG)后拔管时间、重症监护病房停留时间及住院时间的影响。

设计

一项比较与性别相关结局的回顾性研究。

地点

三级护理大学教学医院。

参与者

1995年1月至1997年12月期间连续接受CABG手术的患者(n = 561;男性376例,女性185例)。

干预措施

无。

测量指标及主要结果

74%的男性患者能够早期拔管,而女性患者为64%(p = 0.03);60%的男性患者住院时间≤5天,女性患者为48%(p = 0.008);男性患者术后总体住院时间为5.7天,女性患者为6.5天(p = 0.003);两组之间的发病率和死亡率无显著差异。

结论

采用标准化快速康复方案接受CABG手术的女性患者,其插管时间、重症监护病房停留时间及住院时间均长于男性患者。

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