Observation On The Effect Of Oxygen Treatment For Pediatric Patients With Congenital Heart Disease In The Postoperative Period By Three Different Oxygen Delivery Methods

ObjectiveThis paper is a report of a study conducted to compare the effectiveness and safety of the three different oxygen delivery methods (untlateral nasal cannulae. double nasal cannulae, and oxygen mask) in pediatric patients with congenital heart disease after cardiac surgery. To determine the effectiveness of oxygen therapy in the treatment of congenital heart disease after cardiac surgery in children.MethodsSelect60pediatric patients with congenital heart disease undergoing cardiac surgery of Qianfoshan Hospital of Shandong University from January2012to December2013.60eligible pediatric patients with congenital heart disease in the Postoperative Period were randomly divided into three groups by different oxygen methods, unilateral nasal cannulae, double nasal cannulae, and oxygen mask. Observe and monitor HR, RR. SpO2, PH, PaCO2, PaO2, SaO2in pediatric patients both pre-test (before extubation after cardiac surgery) and post-test (give oxygen of three different oxygen delivery methods one hour after extubation). Observe skin, lips. Compliance of pediatric patients. All data were analyzed with software SPSS version17.0. Statistical methods included descriptive statistical analysis, t-test, analysis of variance, etc. Results1. There are not statistically significant difference (P>0.05) in gender, age, diagnosis, operative time, time of cardiopulmonary bypass, time of aortic clamping, time of ventilator-using, P, RR, SpO2, PH, PaCO2, PaO2, SaO2among three groups before test. The test is comparable.2. There are not statistically significant difference(P>0.05) in HR, RR, SpO2, PH, PaCO2, SaO2of group A compared to test before and after. However, PaO2is a remarkable difference (P<0.05).3. There are not statistically significant difference(P>0.05) in HR, RR. SpO2, PH, PaCO2, PaO2, SaO2of group B compared to test before and after.4. There are not statistically significant difference (P>0.05) in HR, RR, PH, PaCO2, SaO2of group C compared to test before and after. However, SpO2and PaO2are a remarkable difference (P<0.05).5. There are not statistically significant differenee (P>0.05) in HR, RR, PH, PaCO2, SaO2of post-test compared to group A, B and C. SpO2of group C is the highest, and SpO2>99%of all three groups. PaO2of group C is the highest, and PaO2>99of all three groups. There are not statistically significant difference (P>0.05) in skin and lips. Compliance of pediatric patients of group B is the highest.ConclusionDuring the early postoperative period, oxygen inhalation by double nasal cannula is a safe and suitable method for pediatric patients undergoing cardiac surgery.