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 defect

作　　者：吴文杰 严帆 李谧[1] 易岂建[1] 吕铁伟[1] 时吉胜[1,2] WU Wenjie;YAN Fan;LI Mi;YI Qijian;LV Tiewei;SHI Jisheng(Children's Hospital Affiliated to Chongqing Medical University,Chongqing 400014,China;Chongqing YouYou Baobei Women’s and Children’s Hospital,Chongqing 401122,China)

机构地区：[1]重庆医科大学附属儿童医院,重庆400014 [2]重医佑佑宝贝妇儿医院,重庆401122

出　　处：《济宁医学院学报》2020年第4期252-255,共4页Journal of Jining Medical University

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,依据住院时间,将患儿分为术后住院时间延长组(n=28)与非延长组(n=160),比较两组患儿一般情况、并发症发生率和手术相关情况,分析术后患儿住院时间延长的影响因素。结果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。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阻滞发生。术后住院时间延长组总并发症、新发心律失常、感染的发生率和局部麻醉使用率均高于非延长组,差异有统计学意义(P<0.05)。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)。结论术后新发心律失常、感染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危险因素。Objective To analyze the influence factors of prolonged hospital stay after interventional closure of ventricular septal defect.Methods Totally 188 children who underwent interventional closure of ventricular septal defect in Cardiovascular Department of Children's Hospital Affiliated to Chongqing Medical University from October 2015 to October 2017 were enrolled into the present research,which were retrospectively analyzed.According to the length of hospital stay after surgery,the children were divided into the two groups:prolonged hospital stay group(n=28)and the non-prolonged hospital stay group(n=160).Retrospectively analysis were performed to all the patients’clinical data including general information,preoperative ultrasound,digital subtraction angiography(DSA)results the incidence of complications and operation related conditions.Results The length of hospital stay in the non-prolonged group was 4.9±0.4 days,while the length was 6.4±0.7 days in the prolonged group.The incidence of postoperative complications in 188 children was 36.2%,without occurrence of death and complete atrioventricular conduction.The incidences of total complications,new arrhythmia,infection and the use rate of local anesthesia in the prolonged group were significantly higher than that in the non-prolonged group(P<0.01).There were no statistically significant differences in age,gender,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 probably influence risk factors for prolonged hospital stay after transcatheter intervential closure of perimembranous ventricular septal defect.

关 键 词：室间隔缺损介入封堵术 住院时间 影响因素 

分 类 号：R725.4[医药卫生—儿科]