CAJ | 학술논문

目的：分析先天性心脏病患儿术后机械通气时间的影响因素，为如何缩短机械通气时间及提高疗效提供干预方法。方法对重庆医科大学附属儿童医院重症监护室（PICU ）2012年1～10月转入的217例先天性心脏病患儿术后的临床资料进行回顾性分析，并对可能影响机械通气时间的年龄、体质量、体外循环时间（CPB）、主动脉阻断时间（ACC）、术前清蛋白、术前肺部感染情况、术前肺动脉压力、术后并发症8项因素进行多元逐步Logistic回归分析。结果217例患儿呼吸机辅助呼吸时间为0．5～312．0 h ，平均（28．42±2．99）h。多元逐步Logistic分析显示术后并发症、术前肺部感染及CPB是延长机械通气时间的主要影响因素。结论术后并发症、术前肺部感染、C PB是延长机械通气时间的主要影响因素。
목적：분석선천성심장병환인술후궤계통기시간적영향인소，위여하축단궤계통기시간급제고료효제공간예방법。방법대중경의과대학부속인동의원중증감호실（PICU ）2012년1～10월전입적217례선천성심장병환인술후적림상자료진행회고성분석，병대가능영향궤계통기시간적년령、체질량、체외순배시간（CPB）、주동맥조단시간（ACC）、술전청단백、술전폐부감염정황、술전폐동맥압력、술후병발증8항인소진행다원축보Logistic회귀분석。결과217례환인호흡궤보조호흡시간위0．5～312．0 h ，평균（28．42±2．99）h。다원축보Logistic분석현시술후병발증、술전폐부감염급CPB시연장궤계통기시간적주요영향인소。결론술후병발증、술전폐부감염、C PB시연장궤계통기시간적주요영향인소。
Objective To analyze the multiple factors affecting the postoperative mechanical ventilation supporting time of chil-dren with congenital heart diseases ,and to preferably master the offline period and offer intervention techniques about shortening mechanical ventilation supporting time and improving efficacy .Methods A total of 217 with congenital heart diseases in 2012 from January to October were retrospectively studied to seek the factor affecting the duration of ventilation .The factors including the age ,weight ,cardiopulmonary bypass time(CBP) ,aortic cross-clamping time(ACC) ,preoperative albumin ,preoperative pulmonary infection ,preoperative pulmonary artery pressure ,postoperative complications were analyzed by the stepwise Logistic regression . Results The ventilation supporting time was 0 .5 -312 .0 h ,average(28 .42 ± 2 .99)h .Multivariate stepwise Logistic analysis showed that the postoperative complications ,preoperative pulmonary infection and CPB were mechanical ventilation use time of the main influence factors .Conclusion Postoperative complications ,preoperative pulmonary infection and CPB are the main influencing factors of mechanical ventilation supporting time .