Tedavi Edilmiş KOAH’lı Hastaların, KOAH Olmayan Hastalara Göre; KABGO Sonrası Akciğer Problemlerin Araştırılması

Year 2016, Volume: 19 Issue: 1, 17 - 22, 04.04.2016

Fatih Aygün , Mehmet Özülkü Mehmet Vedat Çaldır Hüseyin Ulaş Pınar

Abstract

Giriş: Koroner arter baypas greftleme operasyonu (KABGO) öncesi
tedavi almış kronik obstrüktif akciğer hastalığı (KOAH) olan bireylerle, KOAH
olmayan bireyler, cerrahi sonrası uzamış mekanik solunum desteği (UMSD) ve alt
solunum yolu infeksiyonu (ASYİ) açısından karşılaştırılmıştır.

Hastalar
ve Yöntemler: Kalp ve Damar Cerrahisi
kliniğinde, valvüler patolojisi ve konnektif doku hastalığı (Marfan sendromu
vb.) bulunmayan, izole on-pump KABGO yapılmış, 233 hasta çalışmaya alındı.
Veriler retrospektif olarak toplandı. Operasyon öncesi dönemde kliniğimizde
standart preoperatif laboratuvar tetkikleri, solunum sistemi sorgusunda veya
muayenesinde patoloji saptanan kişilere solunum fonksiyon testi (Spirobank
Spirometry, MIR Medical International Research Product) yapılmıştır. KOAH olan
hastalarda, KOAH şiddetini belirlemek için GOLD kılavuzu kullanılmıştır. Bütün
hastalar iki gruba ayrılmıştır. KOAH hastalarını içeren grup; grup 1, KOAH
olmayan hastaları içeren grup; grup 2 olarak adlandırılmıştır.

Bulgular: UMSD görülme hızı grup 1’de %4.8, grup 2’de %1.8 olduğu
görülürken; ASYİ oranı grup 1’de %6.3, grup 2’de %1.7 olduğu tespit edildi.

Sonuç: Çalışmamıza göre; operasyon öncesi
tedavi görmüş KOAH hastalarının, KOAH olmayan hastalara göre on-pump KABGO
sonrası, UMSD ve ASYİ açısından hızları yüksek olmakla birlikte istatistiksel
olarak anlamsız olduğunu söyleyebiliriz. (UMSD açısından p= 0.348; ASYİ
açısından p= 0.088).

Keywords

Koroner arter baypas, kalp akciğer makinası, akciğer hastalığı, kronik obstrüktif, mekanik, solunum, solunum yolu infeksiyonları

Investigation of Pulmonary Problems in COPD and non-COPD Patients Following CABG

Abstract

Introduction: In our study COPD and non-COPD patients who underwent
CABG were compared in terms of prolonged mechanical ventilation and lower
respiratory tract infektion.

Patients
and Methods: A total of 233 patients
without valvular pathology and connective tissue disorders, such as Marfan
syndrome, who underwent isolated on-pump CABG in the Department of
Cardiovascular Surgery were retrospectively studied. Preoperative laboratory
tests and respiratory system test (Spirobank Spirometry, Medical International
Research Product) were applied in patients who had pathology in respiratory
system query or examination were performed at our clinic during the
preoperative period. The severity of COPD in COPD patients was evaluated
according to the COLD guideline. All patients were divided in two groups. The
group including COPD patients was named group 1 and the other group including non-COPD
patients was named gruop 2.

Results: UMSD rates in groups 1 and 2 were 4.8% and 1.8%,
respectively. Lower respiratory tract infection rates in groups 1 and 2 were
6.3% and 1.7%, respectively.

Conclusion: According to our study, we can say
that the rate of UMSB and lower respiratory tract infection occuring in treated
COPD patients after CABG is statiscally indifferent according to non-COPD
patient. (p= 0.348 for UMSD, p= 0.088 for lower respiratory tract infection).

Keywords

Coronary artery bypass, heart lung machine, pulmonary disease, chronic obstructive, respiration, artificial, respiratory tract infections

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