摘要
目的分析术中相关因素对婴幼儿先天性心脏病术后早期撤机的影响。方法收集105例先天性心脏病婴幼儿术中主动脉阻断时间、体外循环时间及手术时间,分析其与术后早期撤机的关系。结果单因素分析结果提示婴幼儿先天性心脏病术后早期撤机率与主动脉阻断时间及体外循环时间有关(P均<0.05)。多因素非条件logistic回归分析显示,体外循环时间(91~120)min及>120min是独立影响因素,其OR值(95%CI)分别为0.137(0.040~0.468)及0.035(0.006~0.190)。结论缩短术中主动脉阻断时间及体外循环时间有利于婴幼儿先天性心脏病术后早期撤机,体外循环时间>90 min是影响术后早期撤机的独立影响因素。
Objective To evaluate the effect of intraoperative factors upon ventilator withdrawal early after surgery in infants with congenital heart disease. Methods Intraoperative time of aortic occlusion,cardiopulmonary bypass time and operative time of 105 infants with congenital heart disease were collected,and their relationship with ventilator withdrawal early after surgery was analyzed. Results Univariate analysis demonstrated that ventilator withdrawal early after surgery was significantly correlated with aortic artery occlusion time and cardiopulmonary bypass time（ both P〈0. 05）. The unconditional logistic regression analysis prompted that cardiopulmonary bypass time（ 91-120） min（ OR = 0. 137,95% CI： 0. 040-0. 468）,and 〉120 min（ OR = 0. 035,95% CI： 0. 006-0. 190） were independent factors. Conclusions Shortening the time of aortic occlusion and the duration of cardiopulmonary bypass are beneficial to ventilator withdrawal early after surgery in infants diagnosed with congenital heart disease. The cardiopulmonary bypass time 〉90 min is an independent influencing factor for ventilator withdrawal early after operation.
作者
林超
李运泉
Lin Chao;Li Yunquan(Department of Pediatric Cardiology,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China)
出处
《新医学》
2018年第7期521-524,共4页
Journal of New Medicine
基金
广东省科技计划项目(2012B031800298)
关键词
婴幼儿
先天性心脏病
术中影响因素
早期撤机
hffant
Congenital heart disease
Intraoperative factor
Early ventilator withdrawal
