Preoperative related factors of early postoperative weaning in 105 infants with congenital heart disease
10.3969/j.issn.1006-5725.2017.12.018
- VernacularTitle:影响婴幼儿先心病术后早期撤机的术前相关因素分析
- Author:
Chao LIN
;
Xuandi LI
;
Yunquan LI
;
Yuese LIN
;
Hongjun BA
;
Lin ZHU
;
Youzhen QIN
;
Huisen WANG
;
Xing ZHANG
;
Rongfeng YANG
- Keywords:
Infants;
Congenial heart diseases after surgery;
Early withdraw ventilator;
Preoperative related factors
- From:
The Journal of Practical Medicine
2017;33(12):1969-1972
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the preoperative related factors of early weaning of infants with congenital heart disease after operation. Methods From January ,2014 to January ,2017 in Pediatric Cardiology CICU , infants with congenital heart disease were selected as research objects. The clinical data were retrospectively collect ed and the relationship between preoperative influencing factors and postoperative early weaning were analyzed. Early weaning meant mechanical ventilation time was shorter than 24 h and late weaning meant longer than 24 h. Results Single factor analysis showed that early weaning success rate was related to preoperative cardiac function grade 1,NNIS grade 0~1,ASA grade 1,no lung infection and no or mild pulmonary hypertension(average P<0.05). Non conditional logistic regression analysis showed that preoperative heart function grade 1 was an indepen-dent influencing factor,with OR value(95%CI)of 3.9(1.9~7.7). Conclusions In infants with congenital heart disease,preoperative heart function grade 1,NNIS grade 0 ~ 1 ,ASA grade 1,no lung infection and no or mild pulmonary hypertension benefit early withdrawing of ventilator and preoperative cardiac function grade 1 is an inde-pendent factor for early weaning.
