血糖水平与开胸手术及心肺转流术患儿术后并发症的相关性分析

doi:10.3969/j.issn.1006-6233.2020.06.032

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Abstract Objective: To analyze the correlation between blood glucose level and postoperative complications of thoracotomy and cardiopulmonary bypass (CPB), and to analyze the influencing factors of postoperative complications. Methods: A retrospective study was carried out to collect the clinical data of 100 children who underwent thoracotomy and CPB from May 2016 to may 2018 in our hospital. The patients were divided into complication group and complication-free group according to whether there were complications after operation. The baseline data, operation data and perioperative blood glucose level were collected, and then monofactor analysis and multivariate logistic regressive analysis were conducted to findout the influencing factors of postoperative complications . Results: There were 38 cases of complications during hospitalization, with the incidence of 38.00%. Compared with the complication-free group, the complication group were found younger and underweight, whose CPB time, aortic occlusion time, operation duration and hospital stays were significantly longer, and whose amount of blood transfusion during operation was significantly increased, so the Risk Adjustment for Congenital Heart Surgery (RACHS-1) of congenital heart disease was much higher (P < 0.05). The blood glucose level of the two groups was significantly higher, compared to pre-operation, at the beginning and the end of CPB, and 20 minutes after CPB, (P < 0.05), with the peak value being observed 20 minutes after CPB. The blood glucose level decreased after patients had been admitted to intensive care unit (ICU), but still higher then pre-operation when, and 24 hours after, being admitted to ICU (P < 0.05).No significant difference of blood glucose level was found between the two groups perioperatively (P > 0.05). Multivariate logistic regressive analysis showed that surgery duration, hospital stay and RACHS-1 score were all the influencing factors of postoperative complications (P < 0.05). Conclusion: The postoperative complications of thoracotomy and CPB may be closely related to the surgery duration, hospital stay and the score of RACHS-1, but may not be closely related to the perioperative blood glucose level.

Key words： Cardiopulmonary bypass Thoracotomy Blood glucose level Postoperative complication Influencing factor

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	LIU Chao
	LIU Kai
	LUO Gang
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LIU Chao,LIU Kai,LUO Gang, et al. An Analysis of the Relationship Between Blood Glucose Level and Postoperative Complications in Children Undergoing Thoracotomy and Cardiopulmonary Bypass[J]. HeBei Med, 2020, 26(6): 1024-1028.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2020.06.032 OR http://www.hbyxzzs.cn/EN/Y2020/V26/I6/1024

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