Therapeutic effect of intra-aortic balloon pumping for patients undergoing cardiovascular surgery / 心血管康复医学杂志

ABSTRACT

Objective:To explore therapeutic effect of intra-aortic balloon pumping (IABP) for patients in ICU of cardio-vascular surgery.Methods:A total of 104 patients,who received cardiac surgery in our ICU of cardiovascular surgery,were enrolled,randomly and equally divided into dopamine group (received routine treatment combined dopamine ) and IABP group (received auxiliary IABP based on dopamine group ).Blood pressure,levels of blood urea nitrogen (BUN) and serum creatinine (Scr),urine volume before and one week after surgery,incidence of adverse reactions were observed and com-pared between two groups.Results:Compared with dopamine group on one week after surgery,there were significant rise in levels of SBP [ (89.24 ± 10.22) mmHg vs.(104.22 ± 12.63) mmHg],DBP [ (51.14 ± 7.05) mmHg vs.(64.22 ± 9.25) mmHg] and urine volume [ (44.14 ± 5.69) ml/h vs.(67.19 ± 8.16) ml/h],and significant reductions in levels of central venouspressure [CVP,(16.04±1.72)cmH2Ovs.(10.23±1.01) cmH2O],bloodBUN [(11.03±1.52) mmol/L vs.(7.41 ± 0.81) mmol/L] and Cr [ (162.23 ± 18.58) μmol/L vs.(100.84 ± 12.35) μmol/L] in IABP group,P＝0.001 all;total incidence rate of complications in IABP group was significantly lower than that of dopamine group (1.92%vs.48.08%,P＝0.001).Conclusion:Intra-aortic balloon pumping can significantly raise blood pressure,increase urine volume;reduce blood Scr and BUN levels in patients after cardiac surgery.And its postoperative incidence rate of complica-tions is low.