小儿先天性心脏病介入封堵术后发热的原因分析及防治护理

Causes and Prevention Nursing of Fever After Interventional Occlusion in Children with Congenital Heart Disease

目的探讨小儿先天性心脏病介入封堵术后发热的原因以及防治护理对策。方法选取170例先天性心脏病患儿,按照术后发热情况分为发热组与未发热组,其中发热组80例,未发热组90例。分析两组患儿的手术类型、手术麻醉方式、麻醉时间、手术时间等指标对术后发热的影响。结果 VSD、ASD与PDA三组手术与发热情况无显著性差异(P>0.05);发热组与未发热组患儿在麻醉方式、麻醉时间、手术时间等指标上差异均具有统计学意义(P<0.05)。结论介入封堵术治疗先天性心脏病术后发热可能与全麻、麻醉时间过长、手术时间过长等因素有关,给予针对性护理可显著降低术后发热的发生。

Objective To explore the causes of fever after interventional occlusion for children with congenital heart disease and the countermeasures for prevention and control of it. Methods 170 children with congenital heart disease were selected and divided into fever group and non-fever group according to the presence postoperative fever, with 80 cases in the former group and 90 cases in the latter group. The correlation between postoperative fever and indicators including operation type, operation time, method of anesthesia, and anesthesia duration of both groups was analyzed. Results VSD, ASD and PDA had no significant difference with the occurrence of fever （P〉0.05）, yet the method of anesthesia, anesthesia duration and operation time had statistically significant difference between fever group and non-fever group （P〈0.05）. Conclusions The possible factors related to fever after interventional occlusion for children with congenital heart disease may include general anesthesia, prolonged anesthesia, and prolonged operation time, thus targeted nursing according to these factors can significantly reduce the incidence of postoperative fever.