在手术后的护理过程中,严重的超血症发生在脑瘤患者中
Lingjuan Li1, Jing Qin1, Lin Ren1
1Department of Nursing, Huashan Hospital, Shanghai Medical School, Fudan University, Shanghai, China.
Endocrine connections
|October 19, 2023
概括
严重的超血是喉瘤手术后的一个重大风险. 风险因素包括总体切除和手术前高血,夜班显示水平增加.
科学领域:
- 神经外科 神经外科
- 内分泌学 在内分泌学.
- 关键护理医学 关键护理医学
背景情况:
- 瘤切除带来了术后并发症的风险.
- 严重的高血是这种手术后的潜在严重并发症.
研究的目的:
- 描述和预测严重的瘤切除后高血的风险.
- 为了确定液体平衡和水平变化之间的关联.
主要方法:
- 对234名接受了瘤切除的患者进行了回顾性分析.
- 多变量回归以确定高血的危险因素.
- 机器学习模型 (随机森林) 用于结果预测.
- 在护士轮班中对液体摄入量,输出量和的变化进行比较.
主要成果:
- 125名患者 (53%) 患有严重的高血,在术后的0日和6日达到峰值.
- 风险因素包括总体切除 (OR 2.41),高普吉分类 (OR 4.44),手术前上腺功能不全 (OR 2.01),以及手术前高血 (OR 5.55).
- 随机森林模型实现了0.770的AUC进行预测. 夜班与较高的血清增加,较少的静脉输入和较少的德斯摩素使用相关.
结论:
- 在喉瘤手术后,严重的高血是常见的,特别是在总体切除和手术前危险因素的情况下.
- 减少静脉输入和使用德斯摩素,特别是在夜班期间,与血清水平的增加有关.
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