先天性心脏病患儿术后生存质量与心电图结果的相关性分析

Correlative analysis of postoperative quality of life and electrocar-diogram in children with congenital heart disease

目的研究分析先天性心脏病患儿术后生存质量与其术后心电图结果的相关性。方法对5~18岁先天性心脏病术后患儿及其家长进行生存质量量表调查,根据先天性心脏病理类型和不同心电图结果分组,并分别与生存质量得分进行回归分析和直线相关分析。结果紫绀组、非紫绀组与患儿报告症状和治疗维度、家长报告治疗维度的回归相关有统计学意义(P<0.05),与患儿及家长报告的治疗维度均呈正相关(P<0.05);与Peds QLTM4.0普适表的生理和社会维度的回归相关均存在统计学意义(P<0.05),且均呈正相关(P<0.05)。4组心电图结果与Peds QLTM3.0心脏模块患儿报告治疗、认知和沟通维度、家长报告治疗和沟通维度的回归相关具有统计学意义(P<0.05),与患儿报告及家长报告症状维度和总分的回归相关均存在显著统计学意义(P<0.01),与患儿报告及家长报告症状、治疗、沟通维度和总分均呈负相关(P<0.01);与Peds QLTM4.0普适表各维度及总分的回归相关均有显著统计学意义且均呈负相关(P<0.01)。结论非紫绀型先天性心脏病患儿生存质量较紫绀型先天性心脏病患儿好;心电图结果异常情况越多,患儿生存质量越低,心电图结果越接近正常,患儿生存质量越好。

Objective To study the correlation between postoperative quality of life and electrocardiogram outcome in children with congenital heart disease. Methods The quality of life scale of children aged 5-18 years old and their parents were investigated. The patients were grouped according to the type of congenital pathology and different ECG results. Regression analysis and linear correlation analysis were performed with the scores of quality of life. Results There was a significant correlation between the cyanotic group and the non-cyanotic group（ P 〈 0. 05）,and there was a positive correlation with the treatment dimension reported by the parents and parents（ P 〈 0. 05）,and there was a significant cor-relation with the regression of the physiological and social dimensions of PedsQ LTM4. 0. The differences of four groups of ECG results were statistically significant（ P 〈 0. 05） with those reported in the treatment of treatment,cognitive and communication dimensions,parents reported treatment and communication dimensions in children with PedsQ LTM3. 0 cardiac modules（ P 〈 0. 05）,and there was a significant difference between the two groups（ P 〈 0. 05）. Conclusion The quality of life of children with non-cyanotic congenital heart is better than that of cyanotic patients. The more abnormal the ECG results,the lower the quality of life of children,the closer the ECG results are,the better the quality of life.