Objective To observe the evaluation of effect on left heart function between plasma brain natriuretic peptide(BNP) level and left ventricular ejection fraction(LVEF),analyze the cause of common error.Methods Collect 320 patients of different cardiac function level,They were assigned separately to groups according to BNP and LVEF.Using Biosite company brain natriuretic meal kits and Triage BNP tester for BNP detection.Results In BNP(ng/L) group,BNP level in each group,the differences were statistically significant(P0.05);BNP≥ 100ng/L group and the other group LVEF value,the difference was statistically significant(P0.05).LVEF(%) group,the levels of BNP in all groups,LVEF,LVEDd,the differences were statistically significant(P0.05);where LVEF≥50% in 270 cases,BNP400ng/L in 247 cases(91.5%).Conclusion All kinds of detecting techniques should be comprehensive analysis,Clinical doctors can′t overly dependent on a certain detection.
Objective To observe the clinical efficacy of fast-track anesthesia in surgery of congenital heart disease.Methods 70 cases child admitted to the surgical treatment of congenital heart disease were randomly divided into fast-track anesthesia group(observation group) and general anesthesia group(control group),anesthesia-related indications of the two method were compared.Results Fewer patients in observation group used more than one kind of sedative after the operation(χ2=48.62,P=0.041),more patients in observation group left ICU as soon as the surgery finished than in control group(χ2=60.87,P=0.004).The post-operative feeding time,length of hospital stay were significantly shorter in the observation group than in the control group(P0.05).The medical costs were significantly less in the observation group than in the control group(t=2.314,P=0.037;t=2.438,P=0.020;t=4.354,P=0.003;χ2=53.89,P=0.026).Conclusion Fast-track anesthesia in children with congenital heart surgery can reduce the patient recovery time and reduce postoperative pulmonary complications.
