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@#Objective To investigate the influence of prior percutaneous coronary intervention (PCI) on the outcome of coronary artery bypass grafting (CABG). Methods Clinical data of 5 216 patients from Jiangsu Province CABG registry who underwent primary isolated CABG from 2016 to 2019 were retrospectively analyzed. Patients were divided into a PCI group (n=673) and a non-PCI group (n=4 543) according to whether they had received PCI treatment. The PCI group included 491 males and 182 females, aged 62.6±8.2 years, and the non-PCI group included 3 335 males and 1 208 females, aged 63.7±8.7 years. Multivariable logistic regression and propensity score matching (PSM) were used to compare 30-day mortality, incidence of major complications and 1-year follow-up outcomes between the two groups. Results Both in original cohort and matched cohort, there was no statistical difference in the 30-day mortality [14 (2.1%) vs. 77 (1.7%), P=0.579; 14 (2.1%) vs. 11 (1.6%), P=0.686], or the incidence of major complications (myocardial infarction, stroke, mechanical ventilation≥24 h, dialysis for new-onset renal failure, deep sternal wound infection and atrial fibrillation) (all P>0.05). The rate of reoperation for bleeding in the PCI group was higher than that in the non-PCI group [19 (2.8%) vs. 67 (1.5%), P=0.016; 19 (2.8%) vs. 7 (1.0%), P=0.029]. Both in original cohort and matched cohort, there was no statistical difference in 1-year survival rate between the two groups [613 (93.1%) vs. 4 225 (94.6%), P=0.119; 613 (93.1%) vs. 630 (95.2%), P=0.124], while the re-admission rate in the PCI group was significantly higher than that in the non-PCI group [32 (4.9%) vs. 113 (2.5%), P=0.001; 32 (4.9%) vs. 17 (2.6%), P=0.040]. Conclusion This study shows that a history of PCI treatment does not significantly increase the perioperative mortality and major complications of CABG, but increases the rate of cardiogenic re-admission 1 year postoperatively.
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Objective:To analyze the status of treatment of aortic diseases in nine centers included in Jiangsu Aortic Registry study.Methods:Medical records of 1 105 patients who underwent surgery for aortic diseases in nine cardiovascular centers in Jiangsu province from January 1, 2019 to December 31, 2020 were retrospectively collected. According to the types of diseases, they are divided into three categories: Category Ⅰ diseases: aortic diseases requiring only simple open surgery; Category Ⅱ: aortic disease requiring complex open surgery; Category Ⅲ disease: aortic disease requiring interventional or hybrid surgery. The diagnosis and treatment of the three diseases were compared by statistical analysis.Results:Patients aged 50-59 years and 60-69 years were the most in the whole group, accounting for 291(26.3%) and 319 (28.9%), respectively. That is, the age group between 50-69 years was the main age for the incidence of aortic disease, accounting for 55.2% (610/1 105) of the total incidence. The ratio of male to female was 803∶302, and male was 72.7% (803/1 105). The perioperative mortality of patients with type Ⅰ and Ⅲ diseases was lower [1.6%(6/385) and 1.0% (4/330), respectively]. The perioperative mortality of patients with type Ⅱ diseases was significantly increased (15.5% (51/330)) due to their dangerous onset and complicated operation. The highest postoperative complications were infection 11.3% (124/1 105), acute kidney injury 8.6% (95/1 105), and neurological complications 7.0% (77/1 105), respectively.Conclusion:Individualized treatment according to the lesion site, lesion type and scope of involvement of aortic disease can achieve a satisfactory prognosis.
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Objective To investigate the level of platelet parameter of uterine cervical cancer patients and its clinical significance. Methods Seventy-four cases with cervical cancer (the observation group) from Ningde Municipal Hospital, the Affiliated Hospital of Fujian Medical University from May 2014 to May 2016 were chosen as the research subjects. Seventy-four cases of healthy people were treated as the control group. According to the International Federation of Gynecology and Obstetrics (FIGO), the observation group was divided into 15 cases under stage ⅡB(the early stage group), 59 cases of ⅡBstage and above (the middle and advanced stage group). Platelet count (Plt) and mean volume of platelet were monitored and compared by using Japan automatic blood cell analyzer. Results Plt in the observation group was higher than that in the control group [(266 ±71) × 109/L vs. (215 ±42) × 109/L, respectively], and the difference was statistically significant (t = 5.322, P＜ 0.05). The average volume of platelet in the observation group was lower than that in the control group [(9.2±1.2) fl vs. (9.9±1.3) fl, respectively], and the difference was statistically significant (t =-3.931, P ＜ 0.05); There was no statistical difference in the Plt and mean volume of platelet between the early stage group and the middle and advanced stage group (both P＞0.05). Conclusions The determination of platelet parameter has a certain clinical significance for screening and early detection of uterine cervical cancer.