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作 者:龙雪峰 李强辉 全军利 陈培升 周维模 吴昌耀 农振良 廖恒渐 LONG Xue-feng;LI Qiang-hui※;QUAN Jun-li;CHEN Pei-sheng;ZHOU Wei-mo;WU Chang-yao;NONG Zhen-liang;LIAO Heng-jian(The Eighth Affiliated Hospital of Guangxi Medical University,Guigang People's Hospital,Guangxi Guigang 537100)
机构地区:[1]广西医科大学第八附属医院、贵港市人民医院,广西贵港537100
出 处:《深圳中西医结合杂志》2023年第12期12-14,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基 金:贵港市科学研究与技术开发计划项目(贵科转1908024)。
摘 要:目的:探讨儿童腹部实质脏器损伤诊治中应用数字医学技术的效果。方法:选取2016年1月至2022年8月贵港市人民医院采用数字医学技术指导期间诊治的100例腹部实质脏器损伤患儿作为观察组,另选取2012年1月至2015年12月未采用数字医学技术指导期间诊治的100例腹部实质脏器损伤患儿作为对照组,比较两组患儿中,不同创伤类型患儿在保守治疗中的输血量、住院时间、保守治疗成功率;以及不同创伤类型的患儿中转手术治疗的术中出血量、手术时间及术后并发症情况。结果:选择保守治疗的患儿中,观察组肝损伤、脾损伤、肾损伤患儿的保守治疗成功率均高于对照组,输血量均少于对照组,住院时间均短于对照组,差异均具有统计学意义(P<0.05);中转手术治疗的患儿中,观察组肝损伤、脾损伤、肾损伤患儿的术中出血量均少于对照组,手术时间均短于对照组,差异均具有统计学意义(P<0.05);两组中不同创伤类型患儿的手术并发症发生率比较,差异均无统计学意义(P>0.05)。结论:数字医学技术应用在儿童腹部实质脏器损伤诊治中,可为治疗方案的选择提供准确的指导,有助于提高治疗方案的效果,改善患儿临床指标,缩短住院时间。Objective To explore the effectiveness of digital medical technology in the diagnosis and treatment of abdominal parenchymal organ injuries in children.Methods 100 cases of abdominal parenchymal organ injuries diagnosed and treated by Guigang People's Hospital during the period from January 2016 to August 2022 under the guidance of digital medical technology were selected as an observation group,and 100 cases of abdominal parenchymal organ injuries diagnosed and treated during the period from January 2012 to December 2015 were selected as a control group.The amount of blood transfusion,length of hospital stay,rate of conservative treatment and success rate of conservative treatment were compared between the two groups.The amount of intraoperative blood loss,operation time and postoperative complications in children with different trauma types were also analyzed.Results Among the children who chose conservative treatment,the success rate of conservative treatment in the observation group was higher than that in the control group,the blood transfusion volume was lower than that in the control group,and the length of hospital stay was shorter,the differences were statistically significant(P<0.05).Among the children transferred to surgery,the intraoperative blood loss and operation time in the observation group were all shorter than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of surgical complications between the two groups with different trauma types(P>0.05).Conclusion The application of digital medical technology in the diagnosis and treatment of abdominal parenchymal organ injuries in children can provide accurate guidance for the selection of treatment plans,help improve the effectiveness of treatment plans,improve clinical indicators of children,and shorten hospitalization time.
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