摘要
目的观察经导管介入术与开胸修补术及镶嵌对室间隔缺损患儿生存质量的影响。方法收集儿科就诊的室间隔缺损患儿136例,随机分为试验组和对照组,每组68例。试验组患儿给予经导管介入术治疗,对照组给予开胸修补术及镶嵌治疗,观察2组患儿治疗情况、治疗后24 h,3、6个月生活质量采用儿科生存质量量表系列普适性核心量表第4版(中文版Peds QLTM4.0)进行评分。结果 2组均治疗成功,试验组手术时间、住院时间均短于对照组(P<0.05)。试验组治疗24 h后患儿生理领域、心理社会健康高于对照组(P<0.05)。试验组治疗后3、6个月患儿总分及各领域评分均较对照组明显提高(P<0.05)。结论经导管介入术是治疗室间隔缺损患儿的理想治疗方法,而且对于患儿的预后生存质量也具有重要意义。
Objective To investigate the effects of transcatheter arterial intervention,thoracotomy and mosaic on life quality of children with ventricular septal defect.Methods A total of 136 patients with ventricular septal defect were randomly divided into experimental group(n=68)and control group(n=68).The patients in experimental group were treated by transcatheter arterial intervention,however,the patients in control group were treated by thoracotomy neoplasty and mosaic treatment.The therapeutic effects were observed and compared between two groups.Moreover the life quality of patients at 24h,3m,6m after treatment was scored by means of PEDSQLTM4.0.Results The operation time and hospital stay in experimental group were significantly shorter than those in control group(P<0.05).The physical,mental and social scores in experimental group at 24h after treatment were suprior to those in control group(P<0.05).Moreover the overall scores of indexes in experimental group were superior to thoes in control group(P<0.05).Conclusion The transcatheter intervention is an ideal treatment method for children with ventricular septal defect,which has important significance for the prognosis and survival quality of patients.
作者
杜鸿昌
王华春
陈淑静
DU Hongchang;WANG Huachun;CHEN Shujing(Department of Cardiothoracic Surgery,Gucheng County Hospital,Hebei,Gucheng 253800,China)
出处
《河北医药》
CAS
2018年第6期906-910,共5页
Hebei Medical Journal
关键词
介入
开胸术
布地奈德
室间隔缺损
生存质量
intervention
thoracotomy
budesonide
ventricular septal defect
quality of life
