在妇科手术后,探索术后胃肠功能恢复不良的术后风险因素:一个回顾性队列研究
Beibei Wang1,2,3, Li Hu1,2,3, Xinyue Hu1,2,3
1Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Heliyon
|January 11, 2024
概括
以前的腹部手术和恶性疾病是妇科手术后胃肠道恢复不良的关键风险因素. 一个新的评分系统有助于预测这种风险,有助于改善患者的治疗结果.
科学领域:
- 妇科外科手术 妇科外科
- 胃肠功能恢复恢复 胃肠功能恢复
- 手术风险评估手术风险评估
背景情况:
- 手术后的胃肠功能障碍是妇科手术后的常见并发症.
- 确定恢复的预测因素对于改善患者的治疗结果至关重要.
研究的目的:
- 在接受妇科手术的患者中研究影响术后胃肠功能恢复的术后风险因素.
- 为胃肠道恢复建立一个术前风险预测评分系统.
主要方法:
- 对208名接受选择性妇科手术的患者进行了回顾性队列研究.
- 从电子医疗记录中提取的数据,使用I-FEED评分系统进行分析.
- 基于康复结果的患者特征和术后因素的比较.
主要成果:
- 手术后胃肠道恢复不良的发生率为7.21%.
- 恢复不良的独立风险因素包括以前更多的腹部手术和恶性原发性疾病.
- 恶性疾病和手术后白细胞数量增加与胃肠道功能障碍的严重程度有关.
结论:
- 胃肠功能不佳的患者经历了更糟糕的术后恢复.
- 一个手术前的评分系统发现,在得分为2或更高的患者中,恢复不良的风险为19.4%.
- 建议进行进一步的前性研究,以完善风险分层和预测准确性.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88
Peptic Ulcer Disease V: Surgical Management and Nursing Care
306
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
306
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
Inflammatory Bowel Disease V: Surgical Management
147
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
147
Endoscopic Procedures I: Esophagogastroduodenoscopy
119
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
119
Assessment of the Gastrointestinal System I: Subjective Data
199
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
199


