小儿推拿联合体外膈肌起搏器在先天性心脏病体外循环术后患儿护理中的实施效果

The implementation effect of pediatric massage combined with external diaphragm pacemaker in the care of children after extracorporeal circulation for congenital heart disease

目的探讨小儿推拿联合体外膈肌起搏器在先天性心脏病体外循环术后患儿中的应用效果。方法选取2022年1月—12月在医院住院行体外循环手术的先天性心脏病患儿86例为研究对象,按照组间基线资料均衡可比的原则分为观察组和对照组,各43例。对照组采用常规治疗护理,观察组在常规治疗护理的基础上于术后6 h采用小儿推拿联合体外膈肌起搏器治疗,对比两组患儿呼吸机支持时间、ICU滞留时间、膈肌移动度、撤机成功率、肺部并发症发生率。结果干预后,观察组患儿呼吸机支持时间、ICU滞留时间均短于对照组,差异均具有统计学意义(P<0.05),观察组患儿肺部并发症发生率低于对照组,差异具有统计学意义(P<0.05);观察组患儿膈肌移动度优于对照组,撤机成功率高于对照组,差异均具有统计学意义(P<0.05)。结论采用小儿推拿联合体外膈肌起搏器能够减少先天性心脏病体外循环术后患儿呼吸机支持时间,减少肺部并发症,提高撤机成功率,改善膈肌功能恢复,缩短ICU滞留时间。

Objective To explore the application effect of pediatric massage combined with extracorporeal diaphragm pacemaker in children with congenital heart disease after cardiopulmonary bypass surgery.Methods To select 86 children with congenital heart disease who underwent cardiopulmonary bypass surgery in hospitals from January to December 2022 as the research subjects,they were divided into an observation group and a control group based on the principle of balanced and comparable baseline data between groups,with 43 cases in each group.The control group received routine treatment and care,while the observation group received pediatric massage combined with an external diaphragm pacemaker treatment 6 hours after surgery on the basis of routine treatment and care.The two groups were compared in ventilator support time,ICU retention time,diaphragm mobility,success rate of weaning,and incidence of pulmonary complications.Results After intervention,the ventilator support time and ICU retention time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05);the incidence of pulmonary complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05);the diaphragm mobility in the observation group was better than that in the control group,the success rate of weaning was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of pediatric massage combined with an extracorporeal diaphragm pacemaker can reduce the duration of ventilator support,reduce pulmonary complications,increase the success rate of weaning,improve diaphragm function recovery,and shorten ICU stay time in children with congenital heart disease after cardiopulmonary bypass surgery.