动脉导管未闭导管封堵与外科缝扎术对心率血压的影响

Comparison of effects on heart rate and blood pressure between trans catheter occlusion and traditional surgical process for patent ductus arterious

目的:观察动脉导管未闭(PDA)导管封堵与外科缝扎术对心率、血压的影响。方法:119例PDA患者中62 例做外科缝扎手术,57例做Amplatzer封堵器封堵。观察术前、术后其心率、血压的变化情况。结果:(1)对心率 的影响:手术组:术前、后有明显差异(P<0．05);介入组:术前、后没有明显差异(P>0．05)。两组术前没有明 显差异(P>0．05)．术后介入组心率明显低于手术组(P<0．05);(2)对血压影响:两组术前、后收缩压与舒张压 均无显著性差异(P>0．05)。两组间术前收缩压及舒张压无显著性差异(P>0．05),但术后均出现显著性差异(P< 0．05)。结论:手术组术后心率增快比介入组明显。介入组术后收缩压和舒张压明显比手术组高。

Objective： To evaluate the effects on heart rate and blood pressure between transeatheter occlusion with Amaplatzer oeeluder device and traditional surgical process for patent duetus arterious （PDA）. Methods： In 119 PDA cases, 62 cases were suffered the traditional surgical process （TSP group） and 57 cases were suffered transeatheter occlusion （TCO group）. Results： （1） The effect on heart rate： There was obvious difference between pre-operation and post-operation in TSP group （P〈0.05） ; and there was no obvious differences between pre-operation and post-operation in TCO group （P〉0.05）. The heart rate was not obvious difference before operation （P〉0.05）, but occurred obvious differences after operation （P〈0.05） between two groups; （2） The effect on blood pressure： In TSP group there were not obvious differences of systole and diastole pressure （SBP, DBP） during pre-operation and post-operation （P〉0.05） and as well as the TCO group. There were no obvious differences before operation （P〉0.05）, but occurred obvious differences after operation （P〈0.05） between two groups. Conclusion： After operation the heart rate higher and SBP, DBP lower than group of transeatheter occlusion process in group of traditional surgical.