先天性心脏病术后有创动脉置管患儿非计划性拔管发生的影响因素  

Influencing Factors of Unplanned Extubation in Children with Invasive Arterial Catheterization After Operation of Pediatric Congenital Heart Disease

作　　者：李亚娜 张媛媛 庞秋贺 LI Yana;ZHANG Yuanyuan;PANG Qiuhe(Department of Child Heart Center Intensive Care Unit,Fuwai Central China Cardiovascular Hospital,Zhengzhou 450000,China)

机构地区：[1]阜外华中心血管病医院儿童心脏中心重症监护室,河南郑州450000

出　　处：《河南医学研究》2021年第28期5254-5256,共3页Henan Medical Research

摘　　要：目的分析先天性心脏病术后有创动脉置管患儿非计划性拔管(UEX)发生的影响因素。方法选择2018年1月至2021年5月于阜外华中心血管病医院接受心脏外科手术治疗后行有创动脉置管的150例先天性心脏病患儿,记录患儿术后UEX发生情况并分组,分为发生组与未发生组,调查并记录患儿一般资料、置管位置、冲管方式及镇静程度[舒适量表(CS)评分],分析导致先天性心脏病术后有创动脉置管患儿UEX发生的影响因素。结果150例患儿中,23例发生UEX,占15.33%(23/150);发生组患儿桡动脉置管、肝素生理盐水冲管比率高于未发生组,镇静程度评分低于未发生组(P<0.05);logistic回归分析结果显示,桡动脉置管、肝素生理盐水冲管、镇静程度低(CS评分低)均为先天性心脏病术后有创动脉置管患儿UEX发生的影响因素(OR>1,P<0.05)。结论桡动脉置管、肝素生理盐水冲管、镇静程度低均为先天性心脏病术后有创动脉置管患儿UEX发生的影响因素。Objective To analyze the influencing factors of unplanned extubation(UEX)in children with invasive arterial catheterization after operation of pediatric congenital heart disease.Methods One hundred and fifty children with congenital heart disease who underwent invasive arterial catheterization after cardiac surgery in Fuwai Central China Cardiovascular Hospital from January 2018 to May 2021 were selected.The occurrence of postoperative UEX in children was observed and recorded.The children were divided into two groups,namely occurrence group and non occurrence group.The general data,catheterization position,flushing method and sedation degree[comfort degree scale(CS)score]of children were investigated and recorded,and the influencing factors of UEX in children with invasive arterial catheterization after congenital heart disease were analyzed.Results Among the 150 children,23 cases developed UEX,accounting for 15.33%(23/150).The proportions of radial artery catheterization and heparin normal saline irrigation of children in occurrence group were higher than those in non occurrence group,and the sedation score was lower than that in non occurrence group(P<0.05).Logistic regression analysis results showed that radial artery catheterization,heparin saline flushing and low degree of sedation(low CS score)were the influencing factors of UEX in children with invasive artery catheterization after congenital heart disease(OR>1,P<0.05).Conclusion Radial artery catheterization,heparin saline flushing and low degree of sedation are the influencing factors of UEX in children with invasive artery catheterization after congenital heart disease.

关 键 词：先天性心脏病 动脉置管 非计划性拔管 桡动脉 肝素生理盐水 镇静程度 

分 类 号：R722.1[医药卫生—儿科]