[摘要] 目的 研究导管室风险管理在儿童先天性心脏病（congenital heart disease，CHD）介入治疗中的应用，以期构建一套全面、实用的风险管理干预方案，提升治疗安全性与患儿体验。方法 选取2021年1月至2022年12月于温州医科大学附属第二医院影像核医学介入中心儿科心血管科接受介入治疗的120例CHD患儿，随机分为两组（各60例）。对照组患儿实施常规护理；观察组患儿在对照组的基础上实施导管室风险管理策略，包括术前评估、心理干预、术中监测预防、压力管理和术后护理。比较两组患儿的心理健康状态、风险事件、护理纠纷发生率及满意度。结果 观察组在风险管理策略下，患儿的焦虑和抑郁水平显著下降，焦虑评分从治疗前的（56.8±4.6）分降至（30.8±2.6）分，抑郁评分从（55.8±2.5）分降至（31.4±1.6）分，改善效果显著（Plt;0.01）。风险管理策略实施后，观察组患儿的风险事件发生率明显低于对照组（5.0% vs. 15.0%），护患纠纷情况也显著减少（3.3% vs. 11.7%）。观察组的总满意度（95.0%）显著高于对照组（78.3%）（P=0.0012）。结论 全面的风险管理方案在儿童CHD介入治疗中可有效降低风险事件和护患纠纷发生率，显著提升患儿的满意度和心理健康状态，证明风险管理策略在优化治疗过程、减少不良事件、增进医患和谐方面的重要作用，可为CHD患儿提供更安全的介入治疗。

[关键词] 风险管理；先天性心脏病；介入治疗；儿童

[中图分类号] R541.1" """"[文献标识码] A """""[DOI] 10.3969/j.issn.1673-9701.2025.18.002

Risk management of catheterization room in interventional therapy of congenital heart disease in children

DAI Lijun， YANG Weili， CHEN Yanru

Interventional Center of Imaging and Nuclear Medicine， the Second Affiliated Hospital of Wenzhou Medical University， Wenzhou 325000， Zhejiang， China

[Abstract] Objective To investigate the application of catheterization laboratory risk management in the interventional treatment of children with congenital heart disease （CHD）， aiming to construct a comprehensive and practical risk management intervention plan to enhance treatment safety and child patient experience. Methods A total of 120 pediatric patients who underwent interventional treatment in the Pediatric Cardiovascular Department of the Interventional Center of Imaging and Nuclear Medicine， the Second Affiliated Hospital of Wenzhou Medical University from January 2021 to December 2022 were randomly divided into two groups （60 cases in each group）. Child patients in control group received routine care， while child patients in observation group were subjected to a risk management strategy of the catheterization laboratory on the basis of control group， which included preoperative assessment， psychological intervention， intraoperative monitoring and prevention， stress management and postoperative care. Mental health status of the children， incidence of risk events and nursing disputes， as well as satisfaction of two groups were compared. Results Under the risk management strategy， the levels of anxiety and depression in observation group significantly decreased， with anxiety score dropping from （56.8±4.6） before treatment to （30.8±2.6） after treatment， and depression score falling from （55.8±2.5） to （31.4±1.6）， demonstrating a significant improvement （Plt;0.01）. After implementing the risk management strategy， the incidence of risk events in observation group was notably lower than that in control group （5.0% vs. 15.0%）， and medical disputes were also significantly reduced （3.3% vs. 11.7%）. The overall satisfaction rate in observation group was 95.0%， significantly higher than 78.3% in control group （P=0.0012）. Conclusion A comprehensive risk management plan can effectively reduce the incidence of risk events and medical disputes in the interventional treatment of pediatric CHD， significantly improving child patient satisfaction and mental health status. This confirms the vital role of risk management strategies in optimizing the treatment process， reducing adverse events， and enhancing doctor-patient harmony， providing clinical reference of safer interventional treatment services for children with CHD.

[Key words] Risk management; Congenital heart disease; Interventional therapy; Children

先天性心脏病（congenital heart disease，CHD）是新生儿常见出生缺陷，全球每年约1.5%的新生儿受其影响^[1-3]。随着心血管介入技术的进步，越来越多CHD患儿通过介入治疗获得良好预后。……