CAJ | 학술논문

目的：描述先天性心脏病患儿外科矫治手术后24 h内的体温变化规律、发热的发生率及发热与临床结局的关系，为临床护理提供依据。方法采用方便抽样的方法选取某三甲医院小儿心脏外科矫治手术后患儿200例，收集患儿术后24 h内体温及临床结果相关资料。结果先天性心脏病患儿外科矫治手术后3 h 体温达到高峰，之后开始缓慢下降；术后早期（术后24 h 内）发热发生率为63．5％。发热组（≥38．0℃）和正常组（＜38．0℃）两组患儿仅在主要疾病诊断方面差异具有统计学意义（χ2＝10．641，P＝0．001），其他基础资料和临床资料差异均无统计学意义（P＞0．05）。发热组和正常组患儿ICU住院时间、术后机械通气时间和住院时间中位数分别为68．50 h和46．00 h，20．00 h和16．00 h，16．00 d和12．00 d，经秩和检验比较差异均有统计学意义（ Z值分别为-1．971，-1．998，-3．700；P＜0．05）。结论先天性心脏病患儿外科矫治术后3 h体温达到高峰，超过半数的患儿会出现术后发热现象，术后发热可影响临床结局。
목적：묘술선천성심장병환인외과교치수술후24 h내적체온변화규률、발열적발생솔급발열여림상결국적관계，위림상호리제공의거。방법채용방편추양적방법선취모삼갑의원소인심장외과교치수술후환인200례，수집환인술후24 h내체온급림상결과상관자료。결과선천성심장병환인외과교치수술후3 h 체온체도고봉，지후개시완만하강；술후조기（술후24 h 내）발열발생솔위63．5％。발열조（≥38．0℃）화정상조（＜38．0℃）량조환인부재주요질병진단방면차이구유통계학의의（χ2＝10．641，P＝0．001），기타기출자료화림상자료차이균무통계학의의（P＞0．05）。발열조화정상조환인ICU주원시간、술후궤계통기시간화주원시간중위수분별위68．50 h화46．00 h，20．00 h화16．00 h，16．00 d화12．00 d，경질화검험비교차이균유통계학의의（ Z치분별위-1．971，-1．998，-3．700；P＜0．05）。결론선천성심장병환인외과교치술후3 h체온체도고봉，초과반수적환인회출현술후발열현상，술후발열가영향림상결국。
Objective To describe the temperature variation within 24 h of the children with congenital heart disease after open heart surgery , the incidence of fever and the relation between fever and clinical outcome, aiming to provide basis for clinical nursing .Methods The convenience sampling method was used to select 200 cases of children with congenital heart disease after open heart operation , collecting body temperature within postoperative 24 hours and clinical outcomes .Results The body temperature of children reached the peak after three hours of open heart operation , then it began to slow down .The fever rate of early postoperative period (within 24 h) was 63.5%.The demographic data of fever group (≥38.0 ℃) and no fever group (<38.0℃) had no significant difference(P>0.05), except for the aspect of clinical diagnosis (χ2 =10.641, P=0.001).The median of ICU stay length, the ventilation time and the total length of hospital stay in fever group and no fever group were 68.50 h and 46.00 h, 20.00 h and 16.00 h, 16.00 d and 12.00 d, which were significantly different (Z =-1.971,-1.998,-3.700, respectively;P<0.05).Conclusions The body temperatures of children with congenital heart disease after open heart operation reach the peak after three hours . More than half of postoperative children will appear postoperative fever , which could affect the clinical outcome .