Liu Yu, Han Jinsong, Liu Tao, Yang Zhonglu, Jiang Hui, Wang Huishan
Department of Cardiovascular Surgery, General Hospital of Shenyang Military, Shenyang, China.
Biomed Res Int. 2016;2016:4967275. doi: 10.1155/2016/4967275. Epub 2016 Sep 29.
. To investigate the effects of diabetes mellitus (DM) in patients undergoing off-pump coronary artery bypass grafting (OPCAB). . A total of 728 patients with DM and 1380 patients without DM who underwent OPCAB treatment from March 2012 to April 2015 were reviewed. The effects of DM on intraoperative variables and postoperative complications were determined using propensity score analysis. . Two well-matched subgroups were selected using propensity score analysis (DM = 728, no-DM = 728) to compare the perioperative outcome. The duration of the ICU stay, in hours (55.2 ± 53.0 versus 49.29 ± 51.30, < 0.05), postoperative new-onset atrial fibrillation (20.9% versus 14.97%, < 0.05), and postoperative infection (9.2% versus 4.67%, < 0.05) were greater in DM patients, as indicated by univariate analysis. . OPCAB was found to be effective in DM patients, but postoperative infection and postoperative new-onset atrial fibrillation were found to be more likely to occur in DM patients than in other patients. DM was found to be a powerful risk factor for postoperative infection and postoperative new-onset atrial fibrillation.
研究糖尿病（DM）对非体外循环冠状动脉旁路移植术（OPCAB）患者的影响。回顾了2012年3月至2015年4月期间接受OPCAB治疗的728例糖尿病患者和1380例非糖尿病患者。采用倾向评分分析确定糖尿病对术中变量和术后并发症的影响。通过倾向评分分析选择两个匹配良好的亚组（糖尿病组=728例，非糖尿病组=728例）以比较围手术期结局。单因素分析表明，糖尿病患者的重症监护病房（ICU）住院时间（小时数）（55.2±53.0对49.29±51.30，P<0.05）、术后新发房颤（20.9%对14.97%，P<0.05）和术后感染（9.2%对4.67%，P<0.05）更高。发现OPCAB对糖尿病患者有效，但糖尿病患者术后感染和术后新发房颤比其他患者更易发生。糖尿病被发现是术后感染和术后新发房颤的一个强大危险因素。
