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张小龙,李静,闫孝永,付宏,程欢▲.儿童先天性心脏病直视手术后心律失常发病率的meta分析[J].中国医药科学,2023,(1):57-61        基金项目:
儿童先天性心脏病直视手术后心律失常发病率的meta分析
Meta analysis of the incidence of arrhythmia in children after open heart surgery for congenital heart disease
  
DOI:
中文关键词:  儿童;先天性心脏病;直视手术;心律失常;发病率
英文关键词:Children; Congenital heart disease; Open heart surgery; Arrhythmia; Incidence
作者单位
张小龙,李静,闫孝永,付宏,程欢▲ 重庆大学附属江津医院(重庆市江津区中心医院)儿科,重庆 402260 
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中文摘要:
      [摘要] 目的 探究儿童先天性心脏病(CHD)直视手术后早期心律失常的发病率。 方法 检索PubMed、Web of science、Chochrane library及Embase、中国期刊全文数据库、中国生物医学文献数据库、万方数据库与维普数据库中自1980年1月至2022年2月关于CHD患儿术后心律失常发病率的中、英文文献进行分析。 结果 共纳入16篇文献,结果显示CHD患儿术后心律失常发病率为0.19。亚组分析结果显示:①≤1岁心律失常发病率0.247明显高于>1岁儿童发病率0.120 (P < 0.05);②简单型CHD术后心律失常发病率0.136较复杂型CHD发病率0.218低(P < 0.05);③CHD术后最常见的心律失常是交界性异位性心动过速,其次室上性心动过速、心脏传导阻滞,发病率分别为0.048、0.039、0.029。 结论 CHD患儿术后应加强监护,尽早识别心律失常的发生,早期干预,改善预后,降低病死率,提高存活率。
英文摘要:
      [Abstract] Objective To explore the incidence of early arrhythmia in children after open heart surgery for congenital heart disease (CHD). Methods PubMed, Web of Science, Chochrane Library and Embase, Chinese Journal Full-text Database, China Biology Medicine disc, Wanfang database and VIP database were retrieved for the Chinese and English literature on the postoperative arrhythmia incidence of children with CHD from January 1980 to February 2022. Results A total of 16 pieces of literature were included. The results showed that the incidence of postoperative arrhythmia in children with CHD was 0.19. The results of subgroup analysis showed that:①the incidence of arrhythmia in children≤1 year old (0.247) was significantly higher than that in children > 1 year old (0.120, P < 0.05);②the incidence of postoperative arrhythmia in children with simple CHD (0.136) was lower than that in children with complex CHD (0.218) (P < 0.05); ③the most common arrhythmia after CHD surgery was junctional ectopic tachycardia, followed by supraventricular tachycardia and heart block, whose incidence was 0.048, 0.039 and 0.029 respectively. Conclusion The postoperative monitoring for children with CHD should be strengthened, the occurrence of arrhythmia should be identified as early as possible, and early intervention should be carried out to improve the prognosis, reduce the mortality and improve the survival rate.
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