介入治疗与外科治疗对先天性心脏病患儿心理行为影响的研究  

A controlled study on mentality and behavior after interventional and surgical procedures of congenital heart disease in children

作　　者：张坤[1] 李福海[2] 王振先[1] 夏伟[2] 王一彪[1] 孙若鹏[2] 

机构地区：[1]山东大学第二医院,山东济南250033 [2]山东大学齐鲁医院,山东济南250012

出　　处：《中国实用儿科杂志》2008年第7期504-506,共3页Chinese Journal of Practical Pediatrics

摘　　要：目的了解先天性心脏病(CHD)患儿的心理行为问题,并探讨介入治疗与外科手术对CHD患儿心理行为的影响。方法2005年7月至2006年7月山东大学第二医院住院治疗的127例CHD患儿,分为介入组和外科组。分别在术前和术后6个月对患儿进行心理行为检测。同期住院的60名相匹配的肺炎患儿作为对照组。结果术前CHD各组患儿心理行为总粗分、粗分均值高于对照组(P<0.01或P<0.05)。男孩主要表现在抑郁、交往不良、体诉、社会退缩、违纪及攻击方面,女孩主要表现在抑郁、社会退缩、体诉、违纪方面。术后男、女两治疗组心理行为总粗分均低于治疗前(P<0.01)。介入组男孩术后总粗分及攻击行为粗分均低于外科组(P<0.05),介入组女孩术后心理行为总粗分及抑郁、社会退缩和违纪行为粗分均低于外科组(P<0.05)。心理行为因子异常检出率与病程呈正相关。结论CHD患儿存在着明显的心理行为问题。早期治疗以及采用介入治疗方式可较明显改善CHD患儿的心理行为状况。Objective To investigate the mentality and behavior of the children with congenital heart disease （CHD） , and to compare the influence on mentality and behavior after interventional versus surgical procedure of CHD in children. Methods From July 2005 to July 2006, the children suffering from CHD were divided into two groups-interventional group （ n =66） and surgical group（ n =61）. We performed Achenbach Child Behavior Checklist before and 6 months after the closure. Sixty matched children with pneumonia were enrolled as controls. Results The abnormal rates of the boys and girls suffering from CHD were evidently higher than controls （ P 〈 0. 01 ,or P 〈 0. 05）. The behavior abnormities of the boys were depression,social flinch, physical complaints, assault and violate rules. Whereas the girls presented depression, social flinch, physical complaints and violate rules. The total cursory mark of postoperative check result of CHD children was evidently lower than the preoperative children（ P 〈 0. 01）. The total and assault cursory mark of postoperative check result of the interventional boys were lower than the surgical ones （ P 〈 0. 05 ）. The total and depression, social flinch ,violate rules cursory mark of postoperative check result of the interventional girls were lower than the surgical ones （ P 〈 0. 05 ）. The abnormal rates of mentality and behavior con＇elated positively with the course of disease. Conclusion CHD obviously affected the mentalily and behavior of the children. Early treatment and interventional therapy can evidently improve the mentality and behavior of the children with CHD.

关 键 词：心脏缺损 先天性 介入治疗 心脏外科手术方法 儿童心理学 儿童行为 

分 类 号：R72[医药卫生—儿科]