汉化版LAS VEGAS风险评估量表对重症病人术后肺部并发症发生情况的预测价值  

Predictive value of Chinese version of LAS VEGAS Risk Assessment Scale for occurrence status of postoperative pulmonary complications in critically ill patients

作　　者：张文婷[1] 徐佳卿[1] 高莹莹[1] 李圣芳 丁小容[1] ZHANG Wenting;XU Jiaqing;GAO Yingying;LI Shengfang;DING Xiaorong(Peking University Shenzhen Hospital,Guangdong 518000 China)

机构地区：[1]北京大学深圳医院,广东518000

出　　处：《护理研究》2023年第1期28-33,共6页Chinese Nursing Research

基　　金：深圳市医学重点学科(2022-2024年)建设经费项目,编号:SZXK056。

摘　　要：目的:探讨汉化版LAS VEGAS风险评估量表对重症病人术后肺部并发症发生情况的预测价值。方法:选取2020年1月—2020年12月北京大学深圳医院重症医学科行手术治疗的重症病人495例为研究对象。采用汉化版LAS VEGAS风险评估量表对495例重症病人在手术后发生术后肺部并发症的风险进行评估,并对重症病人发生术后肺部并发症的影响因素进行分析;采用受试者工作特征(ROC)曲线评估汉化版LAS VEGAS风险评估量表对重症病人发生术后肺部并发症的预测价值。结果:495例重症病人中发生术后肺部并发症101例,发生率为20.4%;年龄、科室、美国麻醉医师协会(ASA)分级、术前贫血、术前SpO2、合并癌症、外科手术类型、手术时间、麻醉类型、术中去氧饱和度、术中需要血管活性药物对重症病人汉化版LAS VEGAS风险评估量表评分有影响(P<0.05);汉化版LAS VEGAS风险评估量表对术后肺部并发症预测效能的曲线下面积(AUC)为0.625,最大约登指数为20.4%,灵敏度为73.3%,特异度为47.1%。结论:汉化版LAS VEGAS风险评估量表对国内重症病人术后肺部并发症发生情况的预测效能一般,其适用人群及疾病种类有待进一步验证。Objective:To investigate the predictive value of the Chinese version of the LAS VEGAS Risk Assessment Scale for postoperative pulmonary complications in critically ill patients.Methods:From January 2020 to December 2020,495 critically ill patients who underwent surgical treatment in the department of intensive care unit of Peking University Shenzhen Hospital were selected as the research objects.The Chinese version of the LAS VEGAS Risk Assessment Scale was used to assess the risk of postoperative pulmonary complications in 495 critically ill patients after surgery;The influencing factors of postoperative pulmonary complications in critically ill patients were analyzed.The ROC curve was used to evaluate the predictive value of the Chinese version of LAS VEGAS Risk Assessment Scale for postoperative pulmonary complications in critically ill patients.Results:101 of 495 severe patients had postoperative pulmonary complications,the occurrence rate was 20.4%.Age,department,ASA level,preoperative anemia,preoperative SpO2,type of surgical procedure,with cancer or not,operation time,type of anesthesia,intraoperative desoxysaturation,and intraoperative vasoactive drug requirement had significant effects on the score of Chinese version of LAS VEGAS Risk Assessment Scale(P<0.05).The AUC of the Chinese version of the LAS VEGAS Risk Assessment Scale for the prediction value of postoperative pulmonary complications was 0.625,the maximum Youden index was 20.4%,and the sensitivity was 73.3%,the specificity was 47.1%.Conclusion:The Chinese version of LAS VEGAS Risk Assessment Scale had a general predictive effect on the occurrence of postoperative pulmonary complications in critically ill patients in China,and its applicable population and types of diseases need to be further verified.

关 键 词：重症病人 术后肺部并发症 评估工具 预测效能 影响因素 

分 类 号：R473[医药卫生—护理学]