腺样体吸切术出血风险预测模型分析  

作　　者：孙兰娟 沈红燕 钟尔 

机构地区：[1]杭州市第一人民医院大江东院区,311225

出　　处：《浙江临床医学》2020年第8期1176-1178,共3页Zhejiang Clinical Medical Journal

摘　　要：目的 建立腺样体吸切术出血预测模型,防范术中、术后出血.方法 回顾分析296例腺样体吸切术患者资料,筛选出独立危险因素用模型组(170例)建立预测模型,然后检验验证组(126例).结果 预测模型中出血风险随腺样体炎症程度、鼻窦炎临床分型分期、超敏C反应蛋白积分值升高加大,出血风险随鼻腔激素喷雾和高渗盐水冲洗的应用积分值升高逐渐减少;用预测模型同样标准应用于验证组,两组预测效率差异无统计学意义.结论 腺样体炎症程度、鼻窦炎临床分型分期、超敏C反应蛋白、鼻腔激素喷雾剂使用、鼻腔高渗盐水应用,这五项单独危险因素建立的预测模型,对腺样体吸切术出血预测准确、有效、重复性强,有临床应用价值.Objective To establish a prediction model of hemorrhage by adenoidectomy to prevent surgical bleeding.Methods The data of 296 patients with adenoidectomy were retrospectively analyzed.The independent risk factors were screened out.The prediction model was established by model group(170 cases),and then the validation group(126 cases)was tested.Results According to the prediction model,the hemorrhage risk was higher with the increase of the integral value of degree of adenoid inflammation,sinusitis clinical type and stage and hypersensitive C-reactive protein.While the hemorrhage risk was lower with the increase of the integral value of application of nasal hormone spray and hypertonic saline irrigation.The prediction model was applied to the validation group under the same standards.There was no statistical difference in predictive efficiency between two groups.Conclusion The prediction model based on the five independent risk factors,including the degree of adenoid inflammation,sinusitis clinical type and stage,hypersensitive C-reactive protein,the application of nasal hormone spray and hypertonic saline irrigation,can effectively and precisely predict the hemorrhage by adenoidectomy and has high reproducibility and clinical application value.

关 键 词：腺样体吸切术 预测模型 出血 

分 类 号：R76[医药卫生—耳鼻咽喉科]