摘要
目的探究经食道超声心动图监测在小儿先天性心脏病封堵术中应用价值。方法选取2021年1月至2022年1月本院收治的86例患有小儿先天性心脏病行封堵术治疗的患儿,使用随机数表法将其分为观察组(n=43)及对照组(n=43)。观察组术中接受经食道超声心动图监测,对照组术中未接受经食道超声心动图监测,对比两组患儿的手术相关指标、封堵成功率、术后异常情况发生率及心功能指标。结果观察组的手术时间、安置封堵器时间、术后呼吸机辅助时间、ICU停留时间、术后住院时间、二次手术率均低于或短于对照组,差异具有统计学意义(P<0.05)。观察组的封堵成功率(88.37%)高于对照组(69.76%),差异具有统计学意义(P<0.05)。观察组的术后异常情况发生率(4.65%)低于对照组(18.60%),差异具有统计学意义(P<0.05)。术前,两组的室舒张末期内径(LVEDD)、舒张末期容积(LVEDV)、收缩末期容(LVESV)、每搏输出量(LVSV)、射血分数(LVEF)相较差异无统计学意义(P>0.05);术后,两组的各项指标水平均下降,观察组低于对照组,差异具有统计学意义(P<0.05)。结论在小儿先天性心脏病封堵术中应用经食道超声心动图监测,有助于术中问题的及时发现及修正,提高手术成功率,促进患儿心功能的恢复。
Objective To investigate the value of transesophageal echocardiographic monitoring in paediatric congenital heart disease blocking.Methods Eighty-six children with congenital heart disease who were treated with occlusion in our hospital from January 2021 to January 2022 were divided into observation group(n=43)and control group(n=43)using the random number table method.In the observation group,trans-oesophageal echocardiographic monitoring was performed intraoperatively,while in the control group,no trans-oesophageal echocardiographic monitoring was performed intraoperatively.The relevant surgical parameters,success rate of occlusion,incidence of postoperative abnormalities and cardiac function parameters were compared between the two groups.Results In the observation group,the duration of surgery,placement of the blocking device,postoperative ventilator assisted time,ICU stay,postoperative hospital stay and secondary surgery rate were all lower or shorter than those in the control group,and the differences were statistically significant(p<0.05).The rate of successful blockage in the observation group(88.37%)was higher than that in the control group(69.76%),and the difference was statistically significant(P<0.05).The incidence of postoperative abnormalities in the observation group(4.65%)was lower than that in the control group(18.60%),and the difference was statistically significant(P<0.05).Preoperatively,the differences in ventricular end-diastolic diameter(LVEDD),end-diastolic volume(LVEDV),end-systolic volume(LVESV),output per beat(LVSV)and ejection fraction(LVEF)between the two groups were not statistically significant(P>0.05);postoperatively,the levels of all indicators decreased in both groups,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion The use of transesophageal echocardiographic monitoring in paediatric congenital heart disease occlusion helps to detect and correct intraoperative problems in a timely manner,improve the success
作者
张莹莹
金琪
ZHANG Yingying;JIN Qi(Department of Ultrasound Medicine,Henan Chest Hospital,Zhengzhou,450000,China)
出处
《新疆医学》
2024年第5期554-557,共4页
Xinjiang Medical Journal
基金
河南省科技计划项目(项目编号:182102310468)
关键词
小儿先天性心脏病
封堵术
经食道超声心动图
心功能
paediatric congenital heart disease
occlusion
transesophageal echocardiography
cardiac function
