并发症及合并症对脑血管手术患者住院时间的影响分析  

Effect Analysis of Complications and Combination Diseases on the Hospitalization Time of Patients with Cerebrovascular Surgery

作　　者：梁艳超[1] 李卫红[2] 许欣悦[2] 李爽[1] 

机构地区：[1]首都医科大学附属北京天坛医院,北京市100050 [2]首都医科大学附属北京同仁医院,北京市100730

出　　处：《中国病案》2017年第9期104-107,共4页Chinese Medical Record

摘　　要：目的研究脑血管手术患者术后并发症及合并症对住院时间的影响。方法收集2016年某三级甲等医院脑血管手术患者1508例病案首页资料进行单因素分析。进行两独立样本t检验;方差不齐进行秩和检验。考虑多因素之间的交互作用,在单因素分析的基础上采用多元线性回归,分析术后并发症及合并症对住院时间的影响。结果单因素分析结果显示中枢神经系统感染、肺部感染、下肢静脉血栓、电解质紊乱及贫血对住院时间的影响有统计学意义;高血压、糖尿病、癫痫及脑积水对住院时间的影响无统计学意义。排除多因素之间的交互作用,采用多元线性回归结果显示中枢神经系统感染、肺部感染、下肢静脉血栓及电解质紊乱对住院时间的影响有统计学意义;高血压、糖尿病、癫痫、脑积水及贫血对住院时间的影响无统计学意义。结论术后感染、下肢静脉血栓、电解质紊乱等术后并发症是影响脑血管手术患者住院时间的重要因素。应通过采取术后静脉血栓栓塞症防治、疼痛管理、抗菌药物规范化使用等措施,加强围手术期管理,减少并发症的发生率,达到术后快速康复,从而减少患者住院时间,提高患者满意度。Objective To study the effect of postoperative complications and combination diseases on the hospitalization time of patients with cerebrovascular surgery. Methods 1508 cases of patients with cerebral vascular surgery in patients with cerebrovascular surgery were collected in 2016. Two independent sample t tests were conducted. Considering the interaction between multiple factors, multiple linear regression was applied on the basis of univariate analysis, and the effects of complications and complications on hospital stay were analyzed. Results The single factor analysis showed statistical significance of central nervous system infection, pulmonary infection and lower limb vein thrombosis, electrolyte disorders and anemia. The effects of hypertension, diabetes, epilepsy and hydrocephalus were not statistically significant. Exclusion of interactions between multiple factors, using multiple linear regression result shows that the central nervous system infection, pulmonary infection, lower limb vein thrombosis and electrolyte disturbance to the influence of the length of hospital stay was statistically significant. 3＇he effects of hypertension, diabetes, epilepsy, hydrocephalus and anemia were not statistically significant. Conclusions Postoperative complications such as postoperative infection, lower limb vein thrombosis and electrolyte disturbance were important factors that affect the time of hospitalization for patients with cerebral vascular surgery. We should conduct measures such as postoperative venous thromboembolism prevention, pain management, standardized utilization of antimicrobial drugs, strengthen the perioperative management, reduce the incidence of complications, so as to achieve rapid postoperative recovery, reduce hospitalization time and improve patient satisfaction.

关 键 词：脑血管手术 并发症 合并症 住院时间 

分 类 号：R197.323[医药卫生—卫生事业管理] R651.1[医药卫生—公共卫生与预防医学]