腹部手术患者超长住院日与围手术期因素的关系  

The Research of Perioperative Factors Associated with Long Hospital Stay in Abdominal Surgery

作　　者：鲍莲华[1] 

机构地区：[1]解放军总医院南楼临床部护理部,北京100853

出　　处：《科学技术与工程》2012年第33期8990-8993,共4页Science Technology and Engineering

摘　　要：分析腹部手术患者超长住院日与围手术期因素的关系。对解放军总医院2009年至2010年1 998例腹部手术患者围手术期因素进行回顾性研究。对计数资料的单因素分析表明,术中失血≥1 000 mL、术中输血、年龄≥65岁、恶性疾病、发生并发症是发生超长住院日的促进因素,腹腔镜下切除是发生超长住院日的抑制因素。对计量资料的单因素分析表明,术中失血量、总输血量、手术时间是发生超长住院日的促进因素,血清白蛋白值是发生超长住院日的抑制因素。多因素分析表明,发生超长住院日的独立危险因素为手术时间、术中失血量、术中输血与并发症。说明医务人员应对患者进行完善的围手术期评估,采用先进的手术技术,最优化的围手术期管理措施,从而保证患者的手术安全、缩短住院日,使患者真正受益。To analyze perioperative factors associated with long hospital stay in abdominal surgery, 1 998 con- secutive patients who underwent abdominal surgery from 2009 to 2010 at Chinese PLA General Hospital were inves- tigated retrospectively according to medical documentation. It is resulted that univariate analysis of numeration data indicated that blood loss≥ 1000 mL, transfusion, age≥65 years old, malignant disease and complication were risk factors of long hospital stay, laparoscopic resection was protective factor of long hospital stay. Univariate analysis of measurement data indicated that the volume of blood loss, volume of transfusion and operating time were risk factors of long hospital stay, serum albumin level was protective factor of long hospital stay. Multivariate analysis indicated that operating time, postoperative length of stay, and preoperative were independent predictors of morbidity. Blood loss, the volume of blood loss, volume of transfusion and complication were independent predictors of long hospital stay. conclused that abdominal surgery can be performed safely and hospital saty can be improved by sufficient preoperative preparation and innovative surgical technique in perioperative management.

关 键 词：腹部手术 围手术期 住院时间 

分 类 号：R656[医药卫生—外科学]