唇腭裂患儿术前上呼吸道感染相关症状对术后生命体征影响的初步分析

发布时间：2018-11-18 07:06

【摘要】：目的研究唇腭裂患儿术前轻度上呼吸道感染相关症状对术后生命体征的影响,从而探寻能反映手术风险的术前指标。方法查阅唇腭裂手术患儿的病历1 000份,记录患儿术前5项上呼吸道感染相关症状和术后5项生命体征值,进行描述性和单因素统计学分析,探究两者联系。结果在术后24 h内,93.3%的患儿出现了生命体征异常,但大部分为轻微异常;术前最高体温正常与否的两组间,术后体温和收缩压异常的比例有统计学差异(P0.05)。单因素分析显示,术前白细胞计数过高或发热的患儿组与对照组相比,术后呼吸频率的差异有统计学意义(P0.05);术前发热的患儿组与对照组相比,术后体温和收缩压的差异有统计学意义(P0.05);术前诊断有上呼吸道感染的患儿组与对照组相比,术后收缩压和血氧饱和度的差异有统计学意义(P0.05);术前白细胞计数过高的患儿组与对照组相比,术后收缩压的差异有统计学意义(P0.05)。结论合并轻度上呼吸道感染的患儿实施全身麻醉下唇腭裂手术是相对安全的,但需加强监护。术前发热是术后生命体征异常的敏感指标,白细胞数和上呼吸道感染诊断亦有一定价值。
[Abstract]:Objective to study the effect of mild upper respiratory tract infection on postoperative vital signs in children with cleft lip and palate. Methods 1 000 medical records of children with cleft lip and palate were reviewed, 5 symptoms related to upper respiratory tract infection and 5 vital signs were recorded before and after operation, and descriptive and univariate statistical analysis were carried out to explore the relationship between the two. Results within 24 hours after operation, 93. 3% of the children had abnormal vital signs, but most of them were slightly abnormal. There was statistical difference in the proportion of abnormal body temperature and systolic blood pressure between the two groups with normal body temperature before operation (P0.05). Univariate analysis showed that there was significant difference in postoperative respiratory rate between children with high white blood cell count or fever before operation compared with control group (P0.05). Compared with the control group, the postoperative body temperature and systolic blood pressure of the children with fever before operation were significantly different (P0.05). Compared with the control group, the systolic blood pressure and blood oxygen saturation were significantly different between the children with upper respiratory tract infection and those with preoperative diagnosis (P0.05). Compared with the control group, the difference of systolic blood pressure was statistically significant (P0.05). Conclusion it is relatively safe for children with mild upper respiratory tract infection to perform cleft lip and palate surgery under general anesthesia, but it is necessary to strengthen monitoring. Preoperative fever is a sensitive index of postoperative vital signs abnormality, and the diagnosis of leukocyte count and upper respiratory tract infection is also valuable.
【作者单位】：口腔疾病研究国家重点实验室国家口腔疾病临床研究中心四川大学华西口腔医院唇腭裂外科;
【分类号】：R782.2

【相似文献】