不同介入治疗在小儿先天性心脏病室间隔缺损中的应用研究

Application of different interventional therapy in children with ventricular septal defect in congenital heart disease

摘要:

目的 探究对小儿先天性心脏病室间隔缺损进行不同介入方式治疗的效果。方法 选取南阳市第一人民医院2019年6月至2023年6月收治的80例先天性心脏病室间隔缺损患儿，按照随机法分为对照组与研究组，各40例。对照组给予患儿介入封堵术进行治疗，研究组给予患儿经导管介入术进行治疗。对比两组患儿的临床指标、心脏功能指标、心脏彩超指标以及并发症发生率。结果 研究组临床指标低于对照组（P<0.05）；两组患儿治疗前后的射血分数（EF）、左室短轴缩短分数（FS）、每搏输出量（SV）以及心输出量（CO）水平比较，差异无统计学意义（P>0.05），术后患儿心脏功能表现正常（P>0.05）；治疗后，研究组心脏彩超指标优于对照组（P<0.05）；研究组治疗有效率高于对照组（P<0.05）。结论 介入封堵术与经导管介入术在小儿先天性心脏病室间隔缺损应用中临床价值均较高，对患儿的心脏功能指标影响均较小，说明两种治疗方式均安全有效，经导管介入术的并发症发生率低于介入封堵术，对患儿创伤较小，且临床疗效高于介入封堵术，值得临床推荐。

Abstract:

Objective To explore the application of different interventional methods in the treatment of ventricular septal defect in children with congenital heart disease.Methods From June 2019 to June 2023, 80 children with ventricular septal defect with congenital heart disease admitted to our hospital were randomly divided into the control group and the study group, 40 cases each. Children in the control group received treatment with interventional occlusion, while children in the study group received treatment with transcatheter intervention.The clinical indicators, cardiac function indicators, cardiac color Doppler ultrasound indicators and the incidence of complications of the two groups were compared.Results The clinical indicators of the research group were lower than those of the control group (P<0.05). There was no significant difference in the levels of ejection fraction (EF), fractional shortening (FS), stroke volume (SV), and cardiac output (CO) between the two groups of children before and after treatment (P>0.05). The postoperative cardiac function of the children was normal (P>0.05). After treatment, the cardiac ultrasound indicators in the study group were better than those in the control group (P<0.05). The effective rate of treatment in the research group was higher than that in the control group (P<0.05).Conclusion Both interventional occlusion and transcatheter intervention are of high clinical value in the application of ventricular septal defect in children with congenital heart disease, and have little impact on the cardiac function indicators of children, indicating that both treatment methods are safe and effective. The incidence of complications of transcatheter intervention is lower than that of interventional occlusion, with less trauma to children, and the clinical efficacy is higher than that of interventional occlusion, which is worthy of clinical recommendation.