Risk factors for development of SIRS in patients after off-pump coronary artery bypass grafting
10.3760/cma.j.issn.0254-1416.2009.03.011
- VernacularTitle:非体外循环冠状动脉搭桥术后早期SIRS发生的危险因素
- Author:
Yuefu WANG
;
Guyan WANG
;
Fang CHEN
;
Lihuan LI
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass,off-pump;
Sepsis syndrome;
Risk factom
- From:
Chinese Journal of Anesthesiology
2009;29(3):230-232
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the risk factom for the development of systemic inflammatory response syndrome(SIRS)in patmnts after off-pump coronary artery bypass grafting(OPCABG).Methods Sixty NYHA Ⅰ or Ⅱ patients,aged 46-73 yr,weighing 54-110 kg,undergoing OPCABG,were studied.Blood samples from intemal iugular vein were taken for determination of the plasma concentrations of IL-6 and IL-10 at 4 h after the surgery by ELISA.SIRS 8COre W88 performed during 24 h after the surgery.The patients were divided into 2 groups:SIRS group(S,SIRS 8core≥2)and non-SIRS group(U,SIRS score<2).Factors including age,sex,weight,percentage of mononuclear cells,concentration of hemoglobin,time of operation,left ventricular ejection firction,whether using proteinase inhibitor or not during surgery and plasma concentrations of IL-6 and IL-10 at 4 h after surgery were reccorded.The risk factors were identified by logistic regression analysis.Results Logistic analysis indicated that percentage of mononuclear cells,concentration of hemoglobin,the plasma concentrations of IL-6 and IL-10 were closely related with the development of SIRS in patients after 0PCABG(P<0.05),Y=0.155+0.52 X1+0.39 X2+0.76X1-0.79X,Conclusion The percentage of mononuclear cells,concentration of hemoglobin,and plasma concentrations of IL-6 and IL-10 after surgery Call be the risk factors for the development of SIRS in patients after OPCABG.
