Pathogenetic justification of digestive tract dysfunction correction to reduce the risk of ventricular extrasystoles after coronary bypass grafting.

IF 1.7 Q3 GASTROENTEROLOGY & HEPATOLOGY Przegla̜d Gastroenterologiczny Pub Date : 2023-01-01 Epub Date: 2023-11-27 DOI:10.5114/pg.2023.133223
Timur Utegaliev, Marshan Ermakhanova, Bauyrzhan Sarsembayev, Marat Kuzikeev, Irina Shley
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Abstract

Introduction: In heart pathology, abdominal pathology is often detected, but due attention has not been paid to this issue, and algorithms for predicting, preventing, and correcting the coefficient of endothelial dysfunction (CED) after coronary artery bypass grafting (CABG) with the use of artificial circulation (AC) have not been developed.

Aim: To substantiate the pathogenetic expediency of correction of postoperative intestinal paresis after coronary artery bypass grafting for the prevention of functional cardiac complications.

Material and methods: 147 men were divided into 2 groups. Statistical processing of the obtained data was performed using Windows Microsoft Excel software and parametric methods of variational statistics, and the reliability of differences was determined using Student's formula and table.

Results: It was found that in group II, after coronary artery bypass grafting, the clinical symptoms of intestinal dysfunction were significantly less (p = 0.019), and the recovery of defecation was significantly faster (p = 0.033) than in group I. After coronary artery bypass grafting, the frequency of high-grade extrasystoles in group II was significantly lower than in group I (p = 0.033).

Conclusions: The application of the digestive tract dysfunction correction program is pathogenetically justified because it provides a reduction in the frequency of intestinal paresis and hence a reduction in the frequency of development of ventricular extrasystoles of high gradations after coronary artery bypass grafting.

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纠正消化道功能障碍以降低冠状动脉旁路移植术后室外震荡风险的病理依据。
导言:在心脏病理学中,腹部病变经常被发现,但这一问题尚未得到应有的重视,使用人工循环(AC)进行冠状动脉旁路移植术(CABG)后内皮功能障碍(CED)系数的预测、预防和纠正算法尚未形成。材料和方法:147 名男性分为 2 组。使用 Windows Microsoft Excel 软件和变异统计的参数方法对所获数据进行统计处理,并使用学生公式和表格确定差异的可靠性:研究发现,冠状动脉旁路移植术后,Ⅱ组患者肠道功能紊乱的临床症状明显少于Ⅰ组(P=0.019),排便恢复明显快于Ⅰ组(P=0.033);冠状动脉旁路移植术后,Ⅱ组患者出现高级别肠外收缩的频率明显低于Ⅰ组(P=0.033):结论:消化道功能障碍矫正方案的应用在病理学上是合理的,因为它能降低肠道瘫痪的频率,从而降低冠状动脉旁路移植术后出现高级别室外阵搏的频率。
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来源期刊
Przegla̜d Gastroenterologiczny
Przegla̜d Gastroenterologiczny GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
2.20
自引率
7.70%
发文量
50
审稿时长
6-12 weeks
期刊介绍: Gastroenterology Review is a journal published each 2 months, aimed at gastroenterologists and general practitioners. Published under the patronage of Consultant in Gastroenterology and Polish Pancreatic Club.
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