Evaluation of Comfort of Total Video-assisted Thoracoscopic Intracardiac Repair of Atrial Septal Defect
Objective To investigate the comfort of total video-assisted thoracoscopic intracardiac repair of atrial septal defect.Methods A total of 546 cases undergoing intracardiac repair of atrial septal defect form January 2015 to December 2020 in our hospital were selected into the study.According to the operation method,the patients were divided into thoracoscopic group and thoracotomy group,with 273 cases in each group.The pain degree,thoracic numbness,pressure feeling,thoracic deformation,anxiety,depression and phobia,and incision complications were recorded and compared between the two groups during ICU stay,at discharge,and at 1 and 3 months after discharge.Results According to the numeric rating scales(NRS),the degree of pain in the thoracoscopic group was higher than that in the thoracotomy group during ICU stay[(6.5±2.1)points vs.(5.3±2.2)points,t = 5.736,P =0.000],and lower than that in the thoracotomy group at other stages(all P =0.000).There was no significant difference in thoracic numbness and pressure feeling between the two groups during ICU stay(P>0.05),but the extant in the thoracoscopic group was significantly lower than that in thoracotomy group at discharge and 1 and 3 months after discharge(P<0.05).There was no thoracic deformation in the thoracoscopic group.The thoracic deformation rate in the thoracotomy group showed an upward trend at 1 and 3 months after discharge,and there was significant difference between the two groups(P<0.05).There was no significant difference in anxiety,depression and phobia between the two groups at discharge(P = 0.785).The psychological state of the thoracoscopic group was significantly better than that of the thoracotomy group at 1 and 3 months after discharge(P<0.05).There was no significant difference in incision complication rate between the two groups(P>0.05).Conclusion Total video-assisted thoracoscopic intracardiac repair of atrial septal defect is safe and effective,which improves the patient's medical comfort,being worthy of popularization and application.
NETL
NSTL
万方数据
维普
