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目的研究围术期动脉导管未闭术患儿的护理方案和应用效果。方法选择2015年1月至2017年1月清华大学第一附属医院收治的130例动脉导管未闭(PDA)患儿,均给予介入封堵术治疗,并且在围术期开展专业的护理干预,记录患儿围术期出现的并发症状况,观察患儿术后体征变化。结果经过介入封堵术治疗和专业护理干预后,本组130例患儿的手术均顺利开展,护理后呼吸急促、心悸或呼吸道感染的症状明显得到缓解。术后回访患儿各项指标均接近或达到正常儿童水平,并发症患儿为23.85%。结论对围术期PDA患儿采用专业护理,可以保证动脉导管未闭术的顺利进行,改善患儿的临床症状,减少并发症,值得推广研究。
Objective To study the nursing plan and application effect of perioperative patients with patent ductus arteriosus. Methods A total of 130 patients with patent ductus arteriosus (PDA) admitted to the First Affiliated Hospital of Tsinghua University from January 2015 to January 2017 were enrolled in this study. All patients underwent interventional therapy and perioperative nursing intervention. Records of perioperative complications occurred in children with signs and symptoms observed changes in children. Results After interventional closure and professional nursing intervention, the operation of 130 children in this group was carried out smoothly. After nursing, the symptoms of shortness of breath, heart palpitations or respiratory tract infection were relieved. All the indexes of children who returned after operation were close to or reach the level of normal children, with 23.85% of children with complications. Conclusion The perioperative PDA with specialized care, can ensure the patent ductus arteriosus smoothly, improve the clinical symptoms of children and reduce complications, it is worth promoting the study.