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目的探讨快速通道麻醉与常规麻醉应用于婴儿先天性心脏病手术的临床效果,为先心病婴儿手术麻醉方法的合理选择提供参考依据。方法选取2013年1月至2015年9月收治的婴儿先天性心脏病手术治疗的住院患儿128例,随机分为快速通道麻醉组(A组)与常规麻醉组(B组),各64例。比较分析两组患儿手术时间、阻断时间、体外循环(CPB)等手术治疗相关指标及术后转归情况。结果手术时间、阻断时间及CPB时间方面,两组比较差异无统计学意义(P均>0.05);术后住院时间、恢复进食时间方面,A组明显短于B组(P均<0.05);术后肺部感染、持续高热及支气管痉挛等并发症发生率两组比较差异无统计学意义(P均>0.05)。结论快速通道麻醉应用于婴儿先天性心脏病手术临床效果好,可以明显缩短术后住院时间及进食时间。
Objective To investigate the clinical effects of fast-track anesthesia and conventional anesthesia in the treatment of congenital heart disease in infants and to provide a reference for the reasonable choice of anesthesia in infant with congenital heart disease. Methods A total of 128 hospitalized infants with congenital heart disease admitted to our hospital from January 2013 to September 2015 were randomly divided into two groups: the fast-track anesthesia group (group A) and the conventional anesthesia group (group B), and 64 cases . Comparative analysis of two groups of children surgery time, blocking time, cardiopulmonary bypass (CPB) and other surgical treatment related indicators and postoperative outcomes. Results There was no significant difference between the two groups in the operation time, the blocking time and the CPB time (P> 0.05). There was a significant difference between the two groups in the length of hospital stay and the recovery of eating time (P <0.05) There was no significant difference in the incidence of postoperative pulmonary infection, persistent fever and bronchospasm (P> 0.05). Conclusion The application of fast-track anesthesia in infants with congenital heart disease has good clinical effect, which can significantly shorten the postoperative hospital stay and eating time.