先天性心脏病体外循环术后发生胃肠功能紊乱现状及影响因素分析.docx

先天性心脏病体外循环术后发生胃肠功能紊乱现状及影响因素分析

摘要目的探讨婴幼儿体外循环术后发生胃肠功能紊乱的现状及影响因素调查研究。方法选择2019年1月1日-2021年12月31日在广西南宁某三甲胸心血管外科性先天性心脏病根治术的327例患儿作为研究对象，将其分为发生术后胃肠功能紊乱（n=98）和未发生术后胃肠功能紊乱（n=229）。采用回顾性分析调查方式调查先天性心脏病患儿体外循环术后发生胃肠功能紊乱现状，并采用多因素logistic回归分析先天性心脏病患儿体外循环术后发生胃肠功能紊乱的影响因素。结果胃肠功能紊乱患儿98例，占比29.97%，其中男患儿57例，占比58．16%，女患儿41例，占比41.84%；胃肠紊乱与非胃肠紊乱组中，年龄、体循环时间、术中最低体温对比差异具有统计学意义。年龄（OR=0.167,P＜0.001）、体循环时间（OR=0.231,P=0.021）、术后低体温（OR=14.696,＜0.001）是先天性心脏病患儿体外循环术后发生胃肠功能紊乱的影响因素。结论先天性心脏病患儿体外循环术后发生胃肠功能紊乱的风险较高，年龄、体外循环时间、术后低体温是先天性心脏病患儿体外循环术后发生胃肠功能紊乱的影响因素，应及早对有以上影响因素的患儿制定干预措施，以期能减少术后胃肠功能紊乱的发生，加速患儿的康复进程。

关键词：先天性心脏病；体外循环；婴幼儿；胃肠功能紊乱；影响因素；

Congenitalheartdiseaseextracorporealcirculationsituationandinfluencingfactorsofpostoperativegastrointestinaldysfunction

Abstract:ObjectiveExploreextracorporealcirculationpostoperativegastrointestinaldysfunctionininfantsthestatusquoandinfluencingfactorsofresearch.MethodsChoiceonJanuary1,2019-December31,2021inguangxinanningathirdthoraciccardiovascularWaiKeXing327casesofchildrenwithcongenitalheartdiseasetreatedastheresearchobject,itcanbedividedintooccurredpostoperativegastrointestinaldysfunction(n=98)andhasnotoccurredpostoperativegastrointestinaldysfunction(n=229).Usingwaytosurveytochildrenwithcongenitalheartdiseasewereretrospectivelyanalyzedpresentsituationofextracorporealcirculationpostoperativegastrointestinaldysfunction,andUSESthemulti-factorlogisticregressionanalysisofchildrenwithcongenitalheartdiseasetheinfluencefactorsofextracorporealcirculationpostoperativegastrointestinaldysfunction.ResultsGastrointestinaldysfunctioninchildrenwith98cases,accountingformorethan29.97%,themalechildrenwith57cases,accountingformorethan58.16%,femalechildrenwith41cases,accountingformorethan41.84%;Gastrointestinaldisordersandgastrointestinaldisorders,age,systemiccirculationtime,intraoperativelowesttemp