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室间隔缺损介入封堵术后住院时间延长的影响因素分析 |
Influence factors of prolonged hospital stay after transcatheter closure of ventricular septal defectWU Wenjie1,2 YAN Fan1 LI Mi1 YI Qijian1 LYU Tiewei1 SHI Jisheng1,2 * |
投稿时间:2020-05-31 修订日期:2020-08-27 |
DOI: |
中文关键词: 室间隔缺损介入封堵术; 住院时间; 影响因素 |
英文关键词: Interventional closure of ventricular septal defect; Length of stay ; Influence factors |
基金项目: |
作者 | 单位 | 邮编 | 吴文杰 | 重庆医科大学附属儿童医院心血管内科;重庆佑佑宝贝妇儿医院 | 400014 | 严帆 | 重庆医科大学附属儿童医院心血管内科 | | 李谧 | 重庆医科大学附属儿童医院心血管内科 | | 易岂建 | 重庆医科大学附属儿童医院心血管内科 | | 吕铁伟 | 重庆医科大学附属儿童医院心血管内科 | | 时吉胜* | 重庆医科大学附属儿童医院 重庆佑佑宝贝妇儿医院 | 400014 |
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中文摘要: |
目的 探讨膜周部室间隔缺损介入封堵术后住院时间延长的影响因素。方法 回顾性分析2015年10月至2017年10月,在重庆医科大学附属儿童医院心血管内科行室间隔缺损介入封堵术的188例患儿的临床资料。患儿平均术后住院时间为5d,术后住院时间大于5d者认为是术后住院时间延长。依据住院时间,将患儿分为术后住院时间延长组(n=20)与非延长组(n=160),比较两组患儿术前超声、数字减影血管造影(DSA)结果,及并发症发生率和手术相关情况。结果 188例患儿术后并发症总发病率为36.2%,无住院期间死亡及完全性房室传导发生。术后住院时间延长组患儿住院天数为(6.4±0.7)d,非延长组为(4.9±0.4)d。术后住院时间延长组总并发症、新发心率失常、感染的发生率高于非延长组,差异有统计学(P<0.01)。两组麻醉方式有统计学差异(P<0.01),延长组局部麻醉使用率高。两组患儿在年龄、性别、体重、缺损大小、封堵器大小、手术时间、麻醉时间、造影剂剂量等方面无统计学差异(P>0.05)。结论:术后并发症的发生和局部麻醉是膜周部室间隔缺损介入封堵术后住院时间延长的影响因素。 |
英文摘要: |
Objective: To analyze the influence actors ofv prolonged hospital stay after transcatheter closure of perimembranous ventricular septal defect. Methods: The clinical data of 188 children who underwent interventional closure of ventricular septal defect inSCardiovascular Department of Children"s Hospital Affiliated to Chongqing Medical University from October 2015 to October 2017S were retrospectively analyzed. The average length of stay in hospital after surgery was 5 days. More than 5 days was considered to be prolonged..According to the length of hospital stay, the children were divided into the group with extended length of hospital stay after surgery (n= 20) and the non-extended group (n=160). Preoperative ultrasound and digital subtraction angiography (DSA) results, as well as the incidence of complications and operation related conditions were compared between the two groups. Results The total incidence of postoperative complications in 188 children was 36.2%, without death during hospitalization and complete atrioventricular conduction. The length of hospital stay in the non-extended group was (4.9±0.4) days,while the length was (6.4±0.7) days in the extended group. The incidence of total complications ,new arrhythmia and infection in the extended group was higher than that in the non-extended group, with statistically significant differences (P<0.01).There was statistically significant difference in anesthesia patterns between the two groups (P<0.01), the use rate of local anesthesia was high in the extended group .There were no statistically significant differences in age, sex, body weight, defect size, occluder device size, operation time, anesthesia time and contrast agent dose between the two groups(P>0.05). Conclusion Postoperative complications and local anesthesia are influence risk factors for prolonged hospital stay after transcatheter closure of perimembranous ventricular septal defect. |
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