SỰ THAY ĐỔI CỦA NỒNG ĐỘ GLUCOSE MÁU Ở TRẺ EM MẮC BỆNH TIM BẨM SINH CÓ PHẪU THUẬT TIM MỞ TẠI BỆNH VIỆN NHI TRUNG ƯƠNG

Abstract

Introduction: Hyperglycemia after open heart surgery in children is very common, and associated with the occurrence of adverse outcomes. Assessing postoperative blood glucose disorders to support treatment and prognosis is very necessary. Objectives: Survey on changes in blood glucose levels in children with congenital heart disease having open heart surgery at the National Children's Hospital. Patients and Methods: Cross-sectional descriptive prospective study. All patients after open heart surgery are treated at the Surgical Cardiac Intensive Care Unit of the National Children's Hospital. Evaluate blood glucose through arterial blood gas samples taken at the prescribed time and  run the sample right at the time of collection using the Gem 3500 machine. Results: There were 300 patients in the study, with 2400 blood glucose samples collected from hourly arterial blood gas testing. There were 259 patients with hyperglycemia, accounting for 86.3%. Blood Glucose levels increased during the first 6 hours after surgery, gradually decreased from 12 to 24 hours and maintained a stable level from 48 hours after surgery. Blood glucose increased higher in the first 12 hours in the following groups: weight less than 5 kg, age at surgery less than 6 months. Conclusions: Blood Glucose levels increased during the first 6 hours after surgery, gradually decreased from 12 to 24 hours and maintained a stable level from 48 hours after surgery.