婴幼儿先天性心脏病体外循环术后胃肠功能紊乱的发生状况及影响因素分析  

Analysis on prevalence and influencing factors of postoperative gastrointestinal dysfunction after congenital heart disease extracorporeal circulation in infants and young children

作　　者：林淑皖 张红 涂惠琼 LIN Shu-wan;ZHANG Hong;TU Hui-qiong(Guangxi University of Chinese Medicine,Nanning,Guangxi 530200,China;Youjiang Medical College for Nationalities,Baise,Guangxi 533000,China;不详)

机构地区：[1]广西中医药大学,广西南宁530200 [2]右江民族医学院,广西百色533000 [3]广西中医药大学附属瑞康医院

出　　处：《中国妇幼保健》2024年第11期2036-2039,共4页Maternal and Child Health Care of China

基　　金：广西壮族自治区中医药管理局自筹经费科研课题(GZZC2019100);广西壮族自治区中医药管理局中医药适宜技术开发与推广项目(GZSY21-27)。

摘　　要：目的探讨婴幼儿先天性心脏病(CHD)体外循环术后胃肠功能紊乱的发生状况及影响因素。方法选择2019年1月1日—2021年12月31日在广西中医药大学附属瑞康医院胸心血管外科行体外循环术的327例CHD患儿作为研究对象,分为发生术后胃肠功能紊乱(98例)和未发生术后胃肠功能紊乱(229例)两组。收集患儿的临床资料,采用多因素logistic回归模型分析CHD患儿体外循环术后发生胃肠功能紊乱的影响因素。结果胃肠功能紊乱症状构成情况:腹泻16例,呕吐22例,便秘13例,腹胀47例。logistic回归分析结果显示:年龄(OR=0.167,P<0.05)、体外循环时间(OR=0.231,P<0.05)、术后低体温(OR=14.696,P<0.05)是CHD患儿体外循环术后发生胃肠功能紊乱的影响因素。结论CHD患儿体外循环术后发生胃肠功能紊乱的风险较高,年龄、体外循环时间、术后低体温是影响因素,应及早对有以上影响因素的患儿制定干预措施,以减少术后胃肠功能紊乱的发生,加速患儿康复。Objective To explore the prevalence and influencing factors of postoperative gastrointestinal dysfunction after congenital heart disease(CHD)extracorporeal circulation in infants and young children.Methods From January 1st,2019 to December 31st,2021,327 infants and young children undergoing CHD extracorporeal circulation operation in Department of Cardiovascular Thoracic Surgery in Affiliated Ruikang Hospital of Guangxi University of Chinese Medicine were selected and divided into postoperative gastrointestinal dysfunction group(98 cases)and non-postoperative gastrointestinal dysfunction group(229 cases).The clinical data were collected,multivariate logistic regression model was used to analyze the influencing factors of postoperative gastrointestinal dysfunction after CHD extracorporeal circu-lation.Results The proportions of postoperative gastrointestinal dysfunction symptoms:16 cases with diarrhea,22 cases with vomiting,13 cases with constipation,47 cases with abdominal distension.Logistic regression analysis showed that age(OR=0.167,P<0.05),time of extracorporeal circulation(OR=0.231,P<0.05),and postoperative hypothermia(OR=14.696,P<0.05)were influencing factors of postoperative gastrointestinal dysfunction after CHD extracorporeal circulation.Conclusion CHD children with extracorporeal circulation have high risk of postoperative gastrointestinal dysfunction,age,extracorporeal circulation time,and postoperative hypothermia are influencing factors of postoperative gastrointestinal dysfunction after CHD extracorporeal circulation,intervention measures should be taken as soon as possible targeting to the children with above-mentioned factors to reduce the occurrence of postoperative gastrointestinal dysfunction and accelerate rehabilitation.

关 键 词：先天性心脏病 体外循环 婴幼儿 胃肠功能紊乱 影响因素 

分 类 号：R725.4[医药卫生—儿科]