摘要
目的探讨婴幼儿法洛四联症(TOF)根治术的手术时机及影响疗效的危险因素,为临床选择合适的手术时机,提供科学的依据。方法回顾分析317例TOF手术患者术前生理生化指标、肺部X线、临床心功能分级、肺动脉Mcgoon指数、经皮血氧饱和度、心脏左室射血分数、手术时间、ICU滞留时间、早期并发症发生情况等因素。结果多因素Logistic逐步回归分析:年龄组(OR=2.892,95%CI为1.552,5.390)和ICU滞留时间(OR=1.022,95%CI为1.012,1.032)是影响术后早期效果的危险因素。结论 (1)TOF手术治疗最佳时间选择:1岁以内一期手术修复优于1岁以上的患者。(2)选择良好的手术时机,同时加强术中以及术后的护理,可以避免危险因素,提高手术疗效。
Objective To investigate the timing of surgery of TOF and know the risk factors ot elimacy so mat to prow ding a scientific basis for the selection of surgery at appropriate time. Methods Retrospective analysis o{ 317 cases of tetral ogy of Fallot to get the medical information of preoperative physiological and biochemical indicators of lung X--ray, clinical cardiac function, pulmonary Mcgoon index, transcutaneous oxygen saturation, cardiac left ventricular ejection fraction, op erative time , ICU residence time and the incidence of early complications, using the method of logistic regression to analysis clinical risk factors related to the early medical efficacy. Results Multivariate logistic regression analysis showed： age group （OR = 2. 892, 95~ CI of 1. 552,5. 390） and ICU stay time （OR = 1. 022, 95G CI 1. 012,1. 032） were the risk factors for early postoperative results. Concision （1） TOF best time for surgical treatment options： the first year of a surgical repair is superior to over the age of the patients. （2） Choose a good timing of surgery and strengthening the intraoperative and postoperative treatment could help to avoid high risk and intprove the success rate of surgical treatment.
出处
《临床护理杂志》
2012年第6期10-12,共3页
Journal of Clinical Nursing
关键词
法洛四联症
外科学
手术后并发症
预防和控制
tetralogy of fallot/surgery postoperative complication/prevention ＆ control
