ABSTRACT
Objective:To analyze the influence of application of bilateral internal mammary artery(BIMA) with different configurations in coronary artery bypass grafting(CABG).Methods:From January 2018 to December 2020, 82 patients underwent CABG using BIMA were included, with 75 males and 7 females, aged(56.9±9.8) years old. According to the target of coronary artery of BIMA, patients were divided into two groups, 23 patients(group B) who underwent the traditional operation(RIMA to the right coronary artery), and 59 patients(group L) whose RIMA were grafted to the left ventricular arteries. Also the patients were divided into two groups according to the RIMA used either in situ(group I, 57 cases) or free(group F, 25 cases). Compare the grafts flow between groups. The CTA angiography of coronary artery was completed to evaluate the grafts patency before discharge.Results:There was 1 early operative death(1.22%). The mean flow(MF) of RIMA was significantly higher in group B( P=0.013). The pulsatility index(PI) of LIMA was significantly lower and the MF of RIMA and BIMA was higher(all P<0.05), fewer patients with LIMA-MF less than 15 ml/min( P=0.023)in the group I. CTA angiography before discharge showed that only 1 RIMA to right coronary artery was occlusion. Conclusion:It is better to use BIMA in situ in CABG, RIMA used in right coronary artery can receive more satisfactory graft flow. BIMA has good patency in early stage, therefore is the ideal and stable coronary bypass graft.
ABSTRACT
@#Since the advent of coronary artery bypass grafting (CABG), it has been one of the main ways to treat coronary heart disease. However, compared with percutaneous coronary intervention (PCI), it causes more trauma, complications and pain which discourage many patients. Recently, minimally invasive CABG has gradually become one of the main choices in some medical centers with the progress of technology and the development of surgical instruments. Compared with traditional CABG, minimally invasive CABG has the advantages of less trauma, less pain, faster recovery, lower perioperative mortality and less demand for blood transfusion. In this paper, we will mainly focus on the current stage and prospect of minimally invasive CABG.
ABSTRACT
[Objective] To investigate the therapeutic effect of Shugan Jianpi Decoction , a formula mainly composed of Radix Bupleuri, Pericarpium Citri Reticulatae, Radix Codonopsis, Radix Astragali, Placenta Hominis, etc., in treating iron-deficiency anemia and to explore its mechanism. [Methods] One hundred and seventy-one cases of iron-deficiency anemia were randomized to two groups: group A was treated with Shugan Jianpi Decoction and group B with ferrous sulfate for 4 weeks. Symptoms and signs of anemia were observed and levels of hemoglobin (Hb), red blood cells (RBC), mean corpuscular hemoglobin (MCH) and serum ferrin (SF) were detected before and after treatment to evaluate the effects of the two drugs. [Results] The symptoms and signs of anemia were improved and levels of Hb, RBC, MCH and SF were increased after treatment in the two groups ( P