国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (4): 398-404.doi: 10.7518/gjkq.2017.04.007
宋蕾, 姜舒原, 贾仲林, 石冰, 龚彩霞, 李杨
Song Lei, Jiang Shuyuan, Jia Zhonglin, Shi Bing, Gong Caixia, Li Yang
摘要: 目的 研究唇腭裂患儿术前轻度上呼吸道感染相关症状对术后生命体征的影响,从而探寻能反映手术风险的术前指标。方法 查阅唇腭裂手术患儿的病历1 000份,记录患儿术前5项上呼吸道感染相关症状和术后5项生命体征值,进行描述性和单因素统计学分析,探究两者联系。结果 在术后24 h内,93.3%的患儿出现了生命体征异常,但大部分为轻微异常;术前最高体温正常与否的两组间,术后体温和收缩压异常的比例有统计学差异(P< 0.05)。单因素分析显示,术前白细胞计数过高或发热的患儿组与对照组相比,术后呼吸频率的差异有统计学意义(P<0.05);术前发热的患儿组与对照组相比,术后体温和收缩压的差异有统计学意义(P<0.05);术前诊断有上呼吸道感染的患儿组与对照组相比,术后收缩压和血氧饱和度的差异有统计学意义(P<0.05);术前白细胞计数过高的患儿组与对照组相比,术后收缩压的差异有统计学意义(P<0.05)。结论 合并轻度上呼吸道感染的患儿实施全身麻醉下唇腭裂手术是相对安全的,但需加强监护。术前发热是术后生命体征异常的敏感指标,白细胞数和上呼吸道感染诊断亦有一定价值。
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