首页|体外循环心脏手术治疗先天性心脏病患儿效果分析

体外循环心脏手术治疗先天性心脏病患儿效果分析

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目的 对先天性心脏病患儿行体外循环心脏手术治疗的效果展开探讨.方法 方便选取2020年9月—2022年8月福建省泉州市第一医院心血管外科收治的65例先天性心脏病患儿为研究对象,采用随机数表法分为对照组和研究组.对照组(33例)行正中开胸手术治疗,研究组(32例)行微创小切口体外循环手术治疗,比较两组各项指标及手术效果.结果 与对照组相比,研究组手术时间、体外循环时间、主动脉阻断时间、ICU时间、住院时间更短,生活质量评分更高,差异有统计学意义(P均<0.05).研究组术后并发症发生率为12.50%,低于对照组的33.33%,差异有统计学意义(χ2=3.972,P=0.046).结论 对先天性心脏病患儿行微创小切口体外循环手术治疗,可缩短手术时间和ICU停留时间、减少术后并发症、提高术后生活质量.
Analysis of the Effectiveness of Extracorporeal Circulation Cardiac Sur-gery in Treating Children with Congenital Heart Disease
Objective To investigate the effect of extracorporeal circulation cardiac surgery in children with congenital heart disease.Methods A total of 65 children with congenital heart disease in the Department of Cardiovascular Sur-gery of Quanzhou First Hospital of Fujian Province from September 2020 to August 2022 were conveniently selected as the study objects,and they were divided into control group and study group by random number table method.The control group(33 cases)received open-chest surgery,and the study group(32 cases)received minimally invasive small-incision cardiopulmonary bypass surgery.The indexes and surgical effects of the two groups were compared.Results Compared with the control group,the operation time,cardiopulmonary bypass time,aortic occlusion time,ICU time and hospital stay in the study group were shorter,and the quality of life scores were higher,and the differences were statistically significant(all P<0.05).The incidence of postoperative complications in the study group was 12.50%,which was lower than that in the control group(33.33%),and the difference was statistically significant(χ2= 3.972,P=0.046).Conclusion Minimally invasive small incision cardiopulmonary bypass surgery for children with con-genital heart disease can shorten the operation time and ICU stay time,reduce postoperative complications and im-prove postoperative quality of life.

Congenital heart diseaseExtracorporeal circulation cardiac surgeryComplicationsQuality of life

李传在、陈宏伟、黄东娇

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福建省泉州市第一医院心血管外科,福建泉州 362000

先天性心脏病 体外循环心脏手术 并发症 生活质量

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(4)
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