肝胆胰腺外科行肝部分切除术患者住院时间的影响因素  

Influencing Factors on Length of Stay in Patients Undergoing PartialHepatectomy in Hepatobiliary Pancreas Surgery

作　　者：杨子蕙 程剑剑[1] YANG Zihui;CHENG Jianjian(Medical Department,Henan Provincial People’s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院医务部,河南郑州450003

出　　处：《河南医学研究》2024年第24期4525-4528,共4页Henan Medical Research

摘　　要：目的 分析肝胆胰腺外科行肝部分切除手术患者住院时间的影响因素。方法 回顾性分析,收集2022年1—12月就诊于河南省人民医院肝胆胰腺外科行肝部分切除手术治疗的1 067例患者资料,包括患者性别、年龄、婚姻状况、入院途径、手术方式、手术次数、基础疾病数量、有无肝硬化、术前住院时间、术后感染、费用支付方式、术后是否转入ICU等;运用SPSS 26.0软件分析影响患者住院时间的因素。结果 单因素分析结果表明:年龄、入院途径、基础疾病数量、是否合并肝硬化、术前住院时间、手术方式、是否术后感染以及是否转入ICU均与患者住院时间有关。多因素logistic回归分析结果表明:术前住院时间、术后合并感染、有转入ICU是肝部分切除术后延长患者住院时间的独立危险因素。结论 通过分析影响肝部分切除术患者住院时间的影响因素,从院方医疗服务等方面加强管理如缩短术前住院时间、提高术后管理预防术后感染、优化患者诊疗流程、推进加速康复外科理念等进而缩短患者住院时间。Objective To analyze the influencing factors on length of stay in patients undergoing partial hepatectomy in hepatobiliary pancreas surgery.Methods Retrospective analysis was conducted to collect data on 1067 patients who underwent partial hepatectomy in the hepatobiliary pancreatic surgery of Henan Provincial People’s Hospital from January to December 2022.The data included patient gender,age,marital status,admission route,surgical method,number of surgeries,number of underlying diseases,presence or absence of cirrhosis,preoperative length of hospital stay,postoperative infection,payment method,and whether they were transferred to the ICU after surgery.SPSS 26.0 software was used to analyze factors affecting patient’s length of stay.Results Single factor analysis showed that age,admission route,number of underlying diseases,presence of cirrhosis,preoperative length of hospital stay,surgical approach,postoperative infection,and ICU transfer were all related to the length of hospital stay for patients.The results of multiple logistic regression analysis showed that preoperative hospitalization time,postoperative co infection,and ICU transfer were independent risk factors for prolonging hospitalization time in patients after partial hepatectomy.Conclusion By analyzing the factors that affect the hospitalization time of patients undergoing partial hepatectomy,we strengthen management in terms of hospital medical services,such as shortening preoperative hospitalization time,improving postoperative management to prevent postoperative infections,optimizing patient diagnosis and treatment processes,and promoting the concept of accelerated rehabilitation surgery,in order to shorten patient hospitalization time.

关 键 词：肝部分切除术 住院时间 术前住院时间 术后感染 

分 类 号：R197.3[医药卫生—卫生事业管理]