泌尿外科腹腔镜老年患者术后并发症分级评估状况分析  

Analysis of grading evaluation status of postoperative complications of elderly patients treated with laparoscopic in urologic surgery

作　　者：韩辉 陈风娇[1] 武海英 HAN Hui;CHEN Feng-jiao;WU Hai-ying

机构地区：[1]聊城市人民医院泌尿外科,聊城市252000

出　　处：《护理实践与研究》2020年第18期75-76,共2页Nursing Practice and Research

摘　　要：目的探讨泌尿外科腹腔镜治疗的老年患者术后并发症分级状况。方法选取2017年3月至2019年3月于我院泌尿外科接受腹腔镜手术的412例患者为研究对象。采用回顾性研究方法,分析患者临床资料、术后病历记录,运用Clavien-Dindo分级系统评估术后并发症。结果412例患者中术后并发症发生率为16.75%,其中以切口感染发生率最高,为21.74%。Clavien-Dindo分级显示,I级、II级、Ⅲa级、Ⅲb级、Ⅳa级并发症分别有19例、30例、13例、4例、3例,I级、II级在给予对症支持治疗后好转,Ⅲa、Ⅲb、Ⅳa级经手术治疗、ICU监护后均好转。结论泌尿外科行腹腔镜治疗的老年患者术后并发症Clavien-Dindo分级主要为II级,术后尤其要警惕切口感染、术后出血、腹膜损伤的发生。Objective To explore the grading status of postoperative complications of elderly patients treated with laparoscopic in urologic surgery.Methods To select 412 cases of patients who underwent laparoscopic surgery in the urologic surgery of our hospital from March 2017 to March 2019 as the study objects.Retrospective research methods were used to analyze patients'clinical data and postoperative medical records,and the Clavien-Dindo grading system was used to evaluate postoperative complications.Results The incidence of postoperative complications in 412 cases of patients was 16.75%,of which the incidence of incision infection was the highest at 21.74%.The Clavien-Dindo grading showed that there were 19,30,13,4,and 3 cases of complications of grade I,grade II,grade IIIa,grade IIIb,and grade IVa,respectively.After grade I and II were given symptomatic supportive treatment,it has been improved,and gradeⅢa,Ⅲb,andⅣa all got better after operative treatment and ICU monitoring.Conclusion The Clavieen-Dindo grading of postoperative complications in elderly patients undergoing laparoscopic treatment in urology surgery was mainly grade II.After the operation,it was especially necessary to watch out for the occurrence of wound infection,postoperative bleeding,and peritoneal injury.

关 键 词：泌尿外科 腹腔镜 术后并发症 Clavien-Dindo分级 危险因素 

分 类 号：R473.6[医药卫生—护理学]