Correlation analysis of smoking on early outcomes in patients with coronary artery bypass graft surgery
10.3969/j.issn.1006-5725.2014.23.021
- VernacularTitle:患者吸烟情况与冠脉旁路移植术后早期结果的相关性
- Author:
Lijuan WEI
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass grafting;
Smoking;
Prognosis;
Correlation
- From:
The Journal of Practical Medicine
2014;(23):3772-3774
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the correlation analysis of smoking on early outcomes in patients with coronary artery bypass graft surgery. Methods 489 patients undergoing CABG in our hospital from January 2010 to December 2012 were analyzed retrospectively. Subjects were divided into smoking group (n = 276), non-smoking group (n = 213). According to the condition of patients will quit smoking, smoking group was divided into two subgroups: quit-smoking group (n=81), not quit-smoking group (n=195). Results BMI, hypertension, hyperlipidemia, myocardial infarction, chronic obstructive pulmonary disease history were significantly higher than that of non-smoking group, the average age of left ventricular ejection fraction was significantly lower than that of the control group (P < 0.05). But there were no significant differences between sub groups (P > 0.05). If the COPD patients were excluded from the research, postoperative pulmonary complications, the time of mechanical ventilation of non-smoking groups was significantly lower than the smoking group; pulmonary complications , ventilation time of quit-smoking subgroups was significantly lower than not quit-smoking group (P < 0.05). Multivariate Logistic analysis showed that the period of hospitalization in patients with pulmonary complications is related with smoking status (P<0.05). Conclusions Smoking may increase the effect of pulmonary complications and postoperative mechanical ventilation period. Patients with CABG should be encouraged to stop smoking as soon as possible, so as to reduce the postoperative complications.
