动脉导管未闭导管封堵与外科缝扎术对心率血压的影响

目的：观察动脉导管未闭（PDA）导管封堵与外科缝扎术对心率、血压的影响。方法：119例PDA患者中62例做外科缝扎手术，57例做Amplatzer封堵器封堵。观察术前、术后其心率、血压的变化情况。结果：（1）对心率的影响：手术组：术前、后有明显差异（P〈0．05）；介入组：术前、后没有明显差异（P〉0．05）。两组术前没有明显差异（P〉0．05），术后介入组心率明显低于手术组（P〈0．05）；（2）对血压影响：两组术前、后收缩压与舒张压均无显著性差异（P〉0．05）。两组间术前收缩压及舒张压无显著性差异（P〉0．05），但术后均出现显著性差异（P〈0.05）。结论：手术组术后心率增快比介入组明显。介入组术后收缩压和舒张压明显比手术组高。

Comparison of effects on heart rate and blood pressure between trans catheter occlusion and traditional surgical process for patent ductus arterious

Objective: To evaluate the effects on heart rate and blood pressure between transcatheter occlusion with Amaplatzer occluder device and traditional surgical process for patent ductus arterious (PDA). Methods: In 119 PDA cases, 62 cases were suffered the traditional surgical process (TSP group) and 57 cases were suffered transcatheter occlusion (TCO group). Results: (1) The effect on heart rate: There was obvious difference between pre-operation and post-operation in TSP group (P<0. 05); and there was no obvious differences between pre-operation and post-operation in TCO group (P>0. 05). The heart rate was not obvious difference before operation (P>0. 05), but occurred obvious differences after operation (P<0. 05) between two groups; (2) The effect on blood pressure: In TSP group there were not obvious differences of systole and diastole pressure (SBP,DBP) during pre-operation and post-operation (P>0. 05) and as well as the TCO group. There were no obvious differences before operation (P>0.05),but occurred obvious differences after operation (P<0. 05) between two groups. Conclusion: After operation the heart rate higher and SBP, DBP lower than group of transcatheter occlusion process in group of traditional surgical.