在西格体卷发症患者紧急拉皮切除术后的外科手术期不良结果及其预测因素:回顾性随访研究
Tilahun Deresse1, Esubalew Tesfahun2, Zenebe Abebe Gebreegziabher2
1Department of Surgery, Debre Berhan University, Debre Berhan, Ethiopia.
在埃塞俄比亚,急性sigmoidvolvulus急性腹腔切除术具有很高的不良结果. 手术前的休克,腹膜污染和较高的ASA分数预测了这些并发症,需要早期干预和改善患者监测.
科学领域:
- 手术成果研究的研究结果.
- 胃肠道手术 胃肠道手术
- 低收入国家的公共卫生.
背景情况:
- 急性西格体卷发是造成闭环肠道阻塞的外科紧急情况.
- 对于西格体卷积的紧急腹腔切除术具有显著的术后并发症风险.
- 在埃塞俄比亚,西格体卷发症是导致肠道阻塞的主要原因,但管理结果的数据很少.
研究的目的:
- 为了确定急性西格体卷发症紧急腹腔切除术的患者中不良外科预后结果的发生率和预测因素.
- 为改善埃塞俄比亚的外科护理和患者结果提供数据.
主要方法:
- 追溯后续研究设计.
- 用于结果评估的描述性统计.
- 双变量和多变量后勤回归以确定不良结果的预测因素 (p < 0.05).
主要成果:
- 招募了170名患者;49人 (28.8%) 经历了不良的术后结果.
- 最常见的并发症包括肺炎 (28.1%),手术部位感染 (18.4%) 和伤口衰变 (9.7%).
- 预测不良结果的预测者是手术前的休克 (AOR:3.87),腹污染 (AOR:4.43),以及美国麻醉学会 (ASA) 的较高得分 (AOR:2.37).
结论:
- 在这个埃塞俄比亚队伍中,外科手术期间的不良结果超过了国家和全球报告.
- 低血压,腹膜污染和较高的ASA分数是不良手术事件的重要预测因素.
- 早期的手术干预,及时的复苏和警的患者监测对于改善急性西格卷发症管理的结果至关重要.
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