Feasibility analysis of bedside Ommaya reservoir implantation in the treatment of hydrocephalus in premature infants
Objective To investigate the differences between bedside Ommaya reservoir implantation in the neonatal intensive care unit(NICU)and in the operating room,and investigate the efficacy and safety of NICU bedside Ommaya fluid reservoir implantation in the treatment of hydrocephalus in premature infants.Method A total of 68 premature infants diagnosed with hydrocephalus who admitted to our hospital from January 2021 to December 2022 and underwent Ommaya reservoir implantation were selected as the study objects.The patients who were transferred to the operating room for surgery were classified as the operating room group in 35 cases,and the patients who underwent bedside surgery were classified as the NICU group in 33 cases.The general data and postoperative outcomes of the two groups were analyzed retrospectively.General data included sex,birth weight,surgical weight,gestational age at birth,and gestational age at surgery.Postoperative outcomes included the proportion of ventilator use before and during surgery,incidence of postoperative hypothermia,postoperative infection,postoperative related complications,postoperative withdrawal time,and length of hospital stay.Result There were no significant differences in gender,birth weight,surgical weight,birth gestational age and surgical gestational age between the two groups(P＞0.05).There was no significant difference in the proportion of children using ventilator before surgery,the incidence of postoperative infection and the incidence of postoperative complications between the two groups(P＞0.05).The proportion of ventilator use,incidence of postoperative hypothermia,postoperative withdrawal time and hospitalization days in NICU group were significantly lower or shorter than those in the operating room group,with statistical significance(P＜0.05).Conclusion Ommaya reservoir implantation near NICU bed can reduce the incidence of postoperative hypothermia and the proportion of ventilator use in premature infants,shorten the postoperative withdrawal time and hospitalization days,and does not increase the incidence of postoperative infection,which has certain clinical feasibility.
NETL
NSTL
万方数据
