先天性心脏病患儿介入治疗60例临床效果观察

Observation on clinical effect of congenital heart disease of both intervention therapy and operative treatment

目的:探讨先天性心脏病患儿行介入治疗的临床效果。方法:596例先天性心脏病患儿分为两组,观察组60例行心脏介入治疗,对照组536例行体外循环心脏外科手术治疗。比较两组术中出血量、手术时间、住院天数及术后并发症发生率。结果:观察组血液动力学稳定,术后并发症、手术时间、住院时间明显少于对照组(P<0·05),术中出血量两组比较有显著性差异(P<0.01)。结论:婴幼儿先天性心脏病介入治疗具有创伤小、康复快、疗效好等优点,能明显缩短住院时间,减轻医疗护理工作量。

Objective ： To explore the effect in the treatment of congenital heart disease with intervention therapy. Metheds：596 cases were randomly divided into observation group（ n =60） and control group（ n =536）. Intervention therapy and cardiac surgery under extracorporeal circulation were respectively taken in the observation and control group. The amount of blood loss, duration of operation, hospitalized duration and complications were compared between the two groups. Results： The hemedynamics was more steady in the obserration group, complications, duration of operation and hospitalized duration were less and lower than that in the control group（ P 〈0.05 ）, There was significant difference in the eomparsion of the amount of blood loss of the two groups（ P 〈0. 01 ）. Conclusion： Intervention therapy had advantages of less trauma, satisfied effective outcome, reduced the hospitalized duration and lighten the workload of nursing.