甲状腺术后出血的影响因素分析  

Analysis of factors influencing postoperative hemorrhage after thyroid surgery

作　　者：崔艳钊 CUI Yan-zhao(Beijing Hope Hospital,Beijing 102200,China)

机构地区：[1]北京霍普医院,102200

出　　处：《中国实用医药》2024年第10期60-62,共3页China Practical Medicine

摘　　要：目的 分析甲状腺术后出血的影响因素,为临床预防与治疗提供参考。方法 回顾性分析849例甲状腺首次手术+多次手术患者的临床资料,根据术后出血情况分为术后出血组(23例)和术后未出血组(826例)。比较两组患者性别、手术时间、年龄、高血压、肥胖、术后咳嗽、临床分期等临床资料;分析甲状腺术后出血的影响因素。结果 术后出血组患者男性及高血压、肥胖、术后咳嗽占比分别为69.57%、78.26%、73.91%、69.57%,均高于术后未出血组的33.78%、52.78%、44.55%、48.43%,差异有统计学意义(P<0.05);两组患者手术时间、年龄、临床分期对比无统计学意义(P>0.05)。以术后出血为因变量,肥胖、高血压、男性、术后咳嗽为自变量,经Logistic回归分析结果显示,肥胖、高血压、男性、咳嗽是导致甲状腺术后出血的独立危险因素(P<0.05)。结论 男性、肥胖、咳嗽、高血压是导致甲状腺术后出血的独立危险因素,术后需特别注意患者切口及引流情况,及时对患者气道状态等综合病情进行评估。Objective To analyze the factors influencing postoperative hemorrhage after thyroid surgery,in order to provide reference for clinical prevention and treatment.Methods The clinical data of 849 patients who underwent first and multiple thyroid surgeries was retrospectively analyzed,and they were divided into postoperative hemorrhage group(23 cases)and non-postoperative hemorrhage group(826 cases)according to the occurrence of postoperative hemorrhage.The clinical data such as gender,operation time,age,hypertension,obesity,postoperative cough and clinical stage were compared between the two groups.The factors influencing postoperative hemorrhage after thyroid surgery were analyzed.Results The percentages of male patients,hypertension,obesity and postoperative cough in postoperative hemorrhage group were 69.57%,78.26%,73.91%and 69.57%,which were higher than 33.78%,52.78%,44.55%and 48.43%in non-hemorrhage group,and the difference was statistically significant(P<0.05).There was no significant difference in operation time,age and clinical stage between the two groups(P>0.05).With postoperative hemorrhage as the dependent variable,and obesity,hypertension,male and postoperative cough as the independent variables,Logistic regression analysis showed that obesity,hypertension,male and cough were independent risk factors leading to postoperative hemorrhage after thyroid surgery(P<0.05).Conclusion Male,obesity,cough,and hypertension are risk factors for postoperative hemorrhage after thyroid surgery.Special attention should be paid to the swelling and drainage of the patient's wound after surgery,and timely evaluation of the patient's airway status and other comprehensive conditions should be conducted.

关 键 词：甲状腺 术后出血 危险因素 干预 

分 类 号：R653[医药卫生—外科学]