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

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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