지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.12
- 수록면
- 337 - 345 (9page)
이용수
초록· 키워드
오류제보하기
It is well recognized that conventional coronary artery bypass grafting (ONCAB) often leads to major organ dysfunction including renal injury. Diabetes mellitus is a major cause of nephropathy and poor clinical outcomes. The aim of this retrospective study was to evaluate the occurrence of adverse outcomes including renal impairment between diabetic (n=75, DM group) and non-diabetic patients (n=72, Non-DM group) underwent off-pump coronary artery bypass grafting surgery (OPCAB). Fasting glucose, hemoglobin A1c, fructosamine, fibrinogen and serum osmolality levels in the DM group were higher than those of the Non-DM group at pre-operative (Pre-OP) period (P＜0.05). History of hypertension and renal impairment in the DM group was higher than that of the Non-DM group (P＜0.05). Potassium (K?), blood urea nitrogen and creatinine levels were higher, whereas sodium (Na?) and glomerular filtration rate (GFR) levels were lower in the DM group than the Non-DM group at peri-operative period (P＜0.05). Fasting glucose levels at Pre-OP period had positive correlations with blood urea nitrogen and creatinine levels at peri-operative period, but negative correlations with GFR levels at peri-operative period in the DM group (P＜0.05). Incidences of renal impairment, diuretic therapy or continuous renal replacement therapy and fever in the DM group were higher than those of the Non-DM group at post-operative period (P＜0.05). These results suggest that blood glucose level should be tightly controlled at peri-operative period to avoid renal dysfunction in diabetic patients.
목차
서론
재료 및 방법
결과
고찰
REFERENCES
참고문헌 (25)
참고문헌 신청
Asimakopoulos G / 2005 / Renal function after cardiac surgery off-versus on-pump coronary artery bypass: Analysis using the Cockcroft-Gault formula for estimating creatinine clearance / Ann Thorac Surg 79:2024~2031
Bell DSH / 2003 / Diabetic cardiomyopathy / Diabetes Care 26:2949~2951
Berry C / 2007 / Coronary heart disease in patients with diabetes. Part I: Recent advances in prevention and noninvasive management / J Am Coll Cardiol 49:631~642
Carr ME / 2001 / Diabetes mellitus a hypercoagulable state / J Diabetes Complications 15:44~54
Carson JL / 2002 / Diabetes mellitus increase short-term mortality and morbidity in patients undergoing coronary artery bypass graft surgery / J Am Coll Cardiol 40:418~423
Bell DSH / 2003 / Diabetic cardiomyopathy / Diabetes Care 26:2949~2951
Berry C / 2007 / Coronary heart disease in patients with diabetes. Part I: Recent advances in prevention and noninvasive management / J Am Coll Cardiol 49:631~642
Carr ME / 2001 / Diabetes mellitus a hypercoagulable state / J Diabetes Complications 15:44~54
Carson JL / 2002 / Diabetes mellitus increase short-term mortality and morbidity in patients undergoing coronary artery bypass graft surgery / J Am Coll Cardiol 40:418~423
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UCI(KEPA) : I410-ECN-0101-2013-326-001453914