POSSUM评分系统在老年急诊腹部手术中的应用  

Application of POSSUM scoring system in elderly emergency abdominal operation

作　　者：胡知齐 尹明明 HU Zhi-qi;YIN Ming-ming(Department of General Surgery, the Second People’s Hospital of Anhui, Hefei 230000, China)

机构地区：[1]安徽省第二人民医院普外科

出　　处：《天津医药》2019年第5期505-508,共4页Tianjin Medical Journal

摘　　要：目的探讨POSSUM评分系统在老年急诊腹部手术中风险评估的临床指导意义。方法回顾分析我院普外科97例60岁以上急诊腹部手术患者的临床资料,进行POSSUM评分及术后并发症的Clavien-Dindo分级,分析两者之间的相关性。结果 97例患者中POSSUM评分低危24例,中危60例,高危组13例,有并发症组的POSSUM评分(38.81分±7.51分)高于无并发症组(31.02分±3.34分),差异有统计学意义(t=6.936,P <0 .05)。同时随着POSSUM评分的提高,患者术后并发症Clavien-Dindo分级也相应加重,差异有统计学意义(P<0.05)。结论 POSSUM评分系统能较准确地预测老年急诊腹部手术风险,可以为外科决策提供参考依据,对中高危患者积极进行干预,并指导围手术期处理,以减少术后并发症的发生。Objective To explore the clinical significance of POSSUM scoring system in risk assessment of elderly emergency abdominal operation. Methods The clinical data of 97 patients over 60 years old undergoing emergency abdominal surgery in the Department of general surgery in our hospital were reviewed and retrospectively analyzed. The POSSUM score and the Clavien-Dindo classification of postoperative complications were carried out, and their correlation was analyzed. Results In 97 patients, POSSUM score was lower in 24 cases, moderate in 60 cases and higher in 13 cases. The POSSUM score was significantly higher in complication group (38.81±7.51 score) than that in non-complication group (31.02+3.34 score, t=6.936, P<0 .05). With the increase of POSSUM score, the Clavien-Dindo grading of postoperative complications was aggravated correspondingly , and changed was statistically significant between groups (P<0.05). Conclusion The POSSUM scoring system can accurately predict the risk of emergency abdominal operation in elderly patients. It can provide reference for surgical decision-making, actively intervene for high-risk patients and guide perioperative management so as to reduce postoperative complications.

关 键 词：腹部 外科手术 急诊处理 老年人 POSSUM评分 Clavien-Dindo分级 

分 类 号：R619[医药卫生—外科学]