影响婴幼儿先心病术后早期撤机的术前相关因素分析

发布时间：2018-06-27 21:13

  本文选题：婴幼儿 + 先心病术后　； 参考：《实用医学杂志》2017年12期

【摘要】：目的:分析影响婴幼儿先心病术后早期撤机的术前相关因素。方法:对我院2014年1月至2017年1月在心儿科CICU监护的先心病术后患儿作为研究对象,回顾性收集整理并分析术前相关影响因素与术后早期撤机的关系。划分机械通气时间≤24 h为早期撤机组,24 h为晚期撤机组。结果:(1)单因素分析结果提示早期撤机率与以下术前影响因素有关:心功能Ⅰ级、NNIS分级0~1级、ASA分级1级、无肺部感染及无或轻度肺动脉高压(均P0.05)。(2)非条件Logsitic回归分析提示术前心功能Ⅰ级是独立影响因素,其OR值(95%CI)为3.9(1.9~7.7)。结论:先心病婴幼儿术前心功能Ⅰ级、无肺部感染、无或轻度肺动脉高压、NNIS分级0~1级及ASA分级1级有利于术后早期撤机,其术前心功能Ⅰ级是有利于早期撤机的独立影响因素。
[Abstract]:Objective: to analyze the related factors of early weaning in infants with congenital heart disease. Methods: from January 2014 to January 2017, children with congenital heart disease who were monitored by pediatric CICU in our hospital were retrospectively collected and analyzed the relationship between the influencing factors before operation and the early weaning after operation. The mechanical ventilation time 鈮，

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