择期手术非计划再次手术重返因素相关性分析  

A CORRELATION ANALYSIS ON ELECTIVE UNPLANNED RE- OPERATIONS AND THE RETURN FACTORS

作　　者：胡春兰[1] 毛莉颖[1] 

机构地区：[1]广东省第二人民医院,广东广州510317

出　　处：《现代医院》2015年第2期100-102,共3页Modern Hospitals

摘　　要：目的 分析与非计划再次手术有关的重返因素,为临床科室及管理部门围手术期质量控制提供依据.方法 研究某院2013年1月～ 2014年6月手术病历,筛选出择期手术患者发生的非计划再次手术病例,探讨非计划再次手术发生原因及可能的重返因素与非计划再次手术之间的相关性.结果 择期手术非计划再次手术发生率为0.31％,术后出血为重返手术室进行再次手术的首要原因,Ⅱ、Ⅲ类切口手术、三四级手术、术后出血、术后肠粘连与科室非计划再次手术发生率显著相关.结论 临床科室及管理部门需关注围手术期质量控制、Ⅱ、Ⅲ切口类手术的围手术期院感控制及注重提高手术医师的专科技术水平,以减少非计划再次手术的发生,避免医疗纠纷.Objective To analyze the return factors related to elective unplanned re -operations, and provide scientific basis for the perioperative quality control of the clinical department and the administration. Methods Based on research on the surgery cases data in January 2013 -2014 in June, we analyze the elective unplanned re -opera- tions, discuss the causes of unplanned re - operations and the possible return factors ralated to the unplanned re - oper- ations. Results The incidence of elective unplanned re - operations is 0.31% ; bleeding is the main cause, type Ⅱ andⅢ incision operation, grade 3 and 4 operation. Bleeding and postoperative adhesions are significantly associated with unplanned re -operations. Conclusion The clinical department and the administration must focus on perioperative quality control, and the nosocomial infection control of type Ⅱ and Ⅲ incision operation, and improve the specialist technology of surgeons in order to reduce the incidence of unplanned re - operation and medical disputes.

关 键 词：重返因素 择期手术 非计划再次手术 相关分析 

分 类 号：R473.6[医药卫生—护理学]