多学科协作模式在甲状腺癌术后出血急救治疗中的应用研究  

Application of Multidisciplinary Collaboration in Emergency Treatment of Postoperative Bleeding in Thyroid Cancer

作　　者：杜鸽 刘运权 翟韶阳 李杨[3] DU Ge;LIU Yunquan;ZHAI Shaoyang;LI Yang(Guizhou University of Traditional Chinese Medicine,Guiyang 550005,China;The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine General Surgery Department,Guiyang 550003,China;Guizhou Provincial People's Hospital Vascular Thyroid Surgery,Guiyang 550002,China)

机构地区：[1]贵州中医药大学,贵州贵阳550005 [2]贵州中医药大学第二附属医院普外科,贵州贵阳550003 [3]贵州省人民医院血管甲状腺外科,贵州贵阳550002

出　　处：《中华灾害救援医学》2024年第11期1327-1330,共4页Chinese Journal of Disaster Medicine

摘　　要：目的分析采取多学科协作模式的急救治疗在甲状腺癌术后出血患者中的应用价值。方法回顾性分析2023年9月至2024年1月贵州省人民医院收治的100例甲状腺癌术后出血患者的临床资料。根据急救方案的不同,分为观察组(采用多学科协作模式,50例)和对照组(采用常规急救方案,50例)。比较两组患者的血红蛋白水平、住院相关情况、负面心理、生活质量、急救疗效。结果治疗后,两组患者血红蛋白水平,心理、情绪、生理、社会功能评分均较治疗前明显升高(P<0.001),焦虑自评量表(SAS)和抑郁自评量表(SDS)评分较治疗前明显降低(P<0.001)。治疗后观察组血红蛋白水平,心理、情绪、生理、社会功能评分均较对照组更高(P<0.001),SAS评分和SDS评分均更低(P<0.001)。与对照组比较,观察组患者出血量更少(P<0.001),住院时间更短(P<0.001)。观察组临床急救有效率显著高于对照组(P<0.05)。结论对于甲状腺癌术后出血的患者,实施多学科协作模式的急救策略可减少出血量,缩短住院时间,改善患者负面心理和生活质量,提高急救有效率。Objective Analyze the application value of multidisciplinary collaboration in emergency treatment for postoperative bleeding patients with thyroid cancer.Methods A retrospective analysis was conducted on the clinical data of 100 patients with postoperative bleeding of thyroid cancer admitted to Guizhou Provincial People's Hospital from September 2023 to January 2024.According to different emergency plans,they were divided into an observation group(using a multidisciplinary collaboration model,50 cases)and a control group(using a conventional emergency plan,50 cases).Compare the hemoglobin levels,hospitalization related conditions,negative psychology,quality of life,and emergency treatment efficacy between two groups of patients.Results After treatment,the hemoglobin levels,psychological,emotional,physiological,and social function scores of both groups of patients increased significantly compared to before treatment(P<0.001),while the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)scores decreased significantly compared to before treatment(P<0.001).After treatment,the observation group showed higher levels of hemoglobin,psychological,emotional,physiological,and social function scores compared to the control group(P<0.001),and lower SAS and SDS scores(P<0.001).Compared with the control group,the observation group had less bleeding(P<0.001)and shorter hospital stay(P<0.001).The clinical emergency response rate of the observation group was significantly higher than that of the control group(P<0.05).Conclusion For patients with postoperative bleeding in thyroid cancer,implementing a multidisciplinary collaborative emergency strategy can reduce the amount of bleeding,shorten hospitalization time,improve patients'negative psychology and quality of life,and enhance the effectiveness of emergency treatment.

关 键 词：甲状腺癌 术后出血 急救 

分 类 号：R459.7[医药卫生—急诊医学]