脊髓髓内肿瘤手术患者住院时间延长的危险因素  

Risk factors of prolonged hospital stay in patients with intramedullary spinal cord tumors

作　　者：陈海峰 蒋海涛 徐勇[1] 蔡伟[1] CHEN Hai-feng;JIANG Hai-tao;XU Yong;CAI Wei(Huai'an First Hospital Affiliated to Nanjing Medical University,Huai'an,Jiangsu 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院,江苏淮安223300

出　　处：《颈腰痛杂志》2022年第6期781-784,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨脊髓髓内肿瘤(intramedullary spinal cord tumors,IMSCT)手术患者住院时间延长的危险因素。方法选择2010年1月~2021年10月在本院接受手术治疗的113例IMSCT患者进行回顾性分析,记录患者的年龄、性别、个人史、医学共病、术前功能状态、临床症状、肿瘤位置、肿瘤性质、切除程度、神经功能McMcormick分级、ASA分级、术后并发症及患者术后住院时间,根据75百分位住院时间将患者分为住院时间延长和住院时间正常组,采用卡方检验进行单因素分析,采用Logistic回归模型进行多因素分析。结果根据75百分位住院时间标准,符合住院时间延长患者29例,住院时间正常患者84例。卡方检验显示,住院时间延长和住院时间正常患者的性别、年龄、饮酒、高血压、感觉障碍、运动障碍、疼痛、肿瘤位置、肿瘤性质等资料差异无统计学意义(P>0.05),两组患者吸烟、糖尿病、COPD、术前功能、括约肌功能障碍、切除程度、神经功能McMcormick分级、ASA分级、术后并发症等资料差异存在统计学意义(P<0.05)。多因素Logistic分析显示,糖尿病、神经功能McMcormick分级≥Ⅱ级、ASA分级>Ⅱ级、术后并发症是导致住院时间延长的风险因素(P<0.05)。结论糖尿病、ASA分级>Ⅱ级、术前神经功能McMcormick分级≥Ⅱ级及术后并发症等,是导致住院时间延长的风险因素。Objective To investigate the risk factors of prolonged hospital stay in patients with intramedullary spinal cord tumors(IMSCT).Methods From January 2010 to October 2021,the clinical data of 113 patients with IMSCT who underwent surgery in our hospital were analyzed retrospectively.The patients’age,gender,personal history,medical comorbidity,baseline functional status,clinical symptoms,tumor location,tumor nature,degree of resection,McMcormick grade,ASA classification,postoperative complications and postoperative length of hospital stay were recorded.According to the 75 th percentile length of hospital stay,the patients were divided into extended length of hospital stay group and normal hospital stay group.Chi square was used for univariate analysis,and Logistic regression model was used to conduct multivariate analysis.Results According to the 75 percentile hospitalization time,there were 29 patients with prolonged length of hospital stay,and 84 patients with normal length of stay.Chi square test showed that there were no significant differences in gender,age,drinking,hypertension,sensory disturbance,movement disorders,pain,tumor location,and tumor nature between length of stay prolongation and length of stay normal patients(P>0.05),and there were significant differences in smoking,diabetes,COPD,baseline function,sphincter dysfunction,degree of resection,neurological function McMcormick grade,ASA classification and postoperative complications between the two groups(P<0.05).The results of multivariate Logistic analysis showed that diabetes,neurological function McMcormick grade≥Ⅱ,grade ASA>II and postoperative complications were the risk factors for length of stay prolongation(P<0.05).Conclusion Diabetes,ASA grade>II,preoperative neurological function McMcormick grade≥II and postoperative complications are the risk factors for length of stay prolongation.

关 键 词：脊髓髓内肿瘤 住院时间 风险因素 

分 类 号：R739.42[医药卫生—肿瘤]