某口腔专科医院住院患者非计划再手术分布特征分析  

Analysis on the Distribution Characteristics of Unplanned Reoperation Patients in a Stomatology Hospital

作　　者：沈小勇 段磊[2] 李智勇 任森 Shen Xiaoyong;Duan Lei;Li Zhiyong;Ren Sen(不详;Stomatology Hospital of Wuhan University,Wuhan 430079,Hubei Province,China)

机构地区：[1]武汉大学口腔医院,湖北省武汉市430079 [2]华中科技大学医药卫生管理学院,湖北省武汉市430030 [3]武汉大学中南医院神经外科,湖北省武汉市430061

出　　处：《中国病案》2024年第8期71-74,共4页Chinese Medical Record

基　　金：中国牙病防治基金会资助项目(FX202319)。

摘　　要：目的分析发生非计划再手术的口腔颌面外科住院患者的再手术原因类型、病种、并发症、性别、年龄、发生时间、住院天数等分布特征,以期减少非计划再手术的发生。方法全样本抽取2018年1月1日至2022年12月31日非计划再手术患者的病案首页数据,采用描述性统计进行回顾性分析。结果2018年-2022年非计划再手术发生率0.43%,呈逐年上升趋势,共计11类原因,以皮瓣障碍为主;发生非计划再手术的9类疾病以口腔良恶性肿瘤为主(61.45%),并发症患病率16.87%,均为高血压,性别比3.61:1,四分位年龄50(38,57)岁;非计划再手术主要发生在术后0天~2天,主要为术区出血和皮瓣障碍,植入物感染等三类发生时间较晚;住院天数、术后住院天数均高于正常水平。结论非计划再手术发生率较低,但呈现增长趋势,主要原因为游离皮瓣手术病例的持续增加;临床科室应加强围手术期管理;职能部门应制定非计划再手术监管制度,减少非计划再手术的发生。Objective In order to reduce the incidence of unplanned reoperation,the distribution characteristics of reoperation causes,diseases,complications,gender,age,time of occurrence and length of stay in oral and maxillofacial surgery patients were analyzed.Methods A full sample of patients with unplanned reoperation from January 1st,2018 to December 31st,2022 were collected from the front page of medical records,and descriptive statistics were used for retrospective analysis.Results From 2018 to 2022,the incidence of unplanned reoperation was 0.43%,showing an upward trend,with a total of 11 categories,mainly flap disorders;9 types of diseases with unplanned reoperation were mainly benign and malignant oral tumors(61.45%),and the prevalence rate of complications was 16.87%,all of which were hypertension.Sex ratio 3.61:1,with a quarterage of 50(38,57)years old;unplanned reoperation mainly occurred 0-2 days after surgery,mainly three categories of bleeding and flap disorders,implant infections and other three categories;the average number of days of hospitalization were significantly higher than normal.Conclusions The incidence of unplanned reoperation was low,but it showed a growth trend,mainly due to the continuous increase in free flap surgery cases;clinical departments should grasp the characteristics of prone patients and the time of unplanned reoperation,and strengthen perioperative management;functional departments should formulate an unplanned reoperation supervision system,strengthen personnel training,strengthen tracking management,supplemented by information systems,improve medical quality,reduce the occurrence of unplanned reoperation.

关 键 词：口腔专科医院 非计划再手术 分布特征 

分 类 号：R197.5[医药卫生—卫生事业管理]