不同体外循环预充方法对儿童围术期恢复的影响
儿童心脏手术,,预充，体外循环，质量管理,1材料与方法,2结果,3讨论,4结论,参考文献：
摘要：目的 探讨儿童心脏手术中不同预充方法对围术期恢复的影响。方法 复合预充组30例，使用山莨菪碱、地塞米松、甘露醇及减少晶体预充，对照组30例未使用上述药物、不控制晶体预充。应用体外循环质量评价体系定量分析体外循环质量，X线胸片软组织比值反映全身含水量的变化，X线胸片肺野密度相对值反映肺内含水量的变化。结果 复合预充组体外循环质量评价系统记分、ICU停留时间、呼吸机使用时间、住院时间、总住院费、全身和肺含水量均优于对照组。体外循环质量管理控制项目得分和住院天数呈负相关，R=-0.424，P=0.02；与住院费用呈负相关，R=-0.446，P=0.001；体外循环质量管理控制项目得分与尿量呈正相关，R=0.466，P<0.001。呼吸机使用时间与住院费用呈正相关，R=0.765，P<0.001。结论使用山莨菪碱、地塞米松、甘露醇及减少晶体预充的复合预充方法，与对照组相比明显改善围术期的恢复。关键词：预充，体外循环，质量管理
The Effect of Different Cardiopulmonary Bypass 〖JZ〗Priming Methods on Childens' Perioperative Recovery
YU Jun, PENG Zhi-yuan
(1.Department of Cardiopulmonary Bypass, 2.Department of Radiology 〖JZ〗Wuhan Asia Heart Hospital , Hubei Wuhan 430022 China)
Abstract: OBJECTIVE To investigate the the effect of different priming methods on the cardiopulmonary bypass(CPB) quality change and perioperative recovery. METHODS Patients were divided into two groups - compound and control - with 30 patients in each group. A CPB quality evaluation system was used.〖WTHZ〗〖HT5”H〗RESULTS CPB quality management system score, ICU time, ventilator eime, hospital stay and total hospitalization costs differed notably in the different priming groups. There was a negative correlation between Cardiopulmonary Bypass quality management system score and in hospital time, R=-0.424 ......
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