影响白天腹腔镜尾切除术患者出院的危险因素
He Li1, Zhengbo Yang1, Shuangshuang Hou1
1Department of General Surgery, Affiliated Zhongshan Hospital of Dalian University, Dalian City, People's Republic of China.
概括
系统性炎症反应指数 (SIRI),白细胞计数和尾直径显著影响了腹腔镜尾切除术患者的出院时间. 这些因素有助于预测在紧急日间手术环境中更短的住院时间.
科学领域:
- 一般外科 整体外科
- 紧急医疗 紧急医疗
- 外科手术的结果
背景情况:
- 腹腔镜尾切除术是一种常见的紧急外科手术程序.
- 优化患者出院对于有效利用医疗保健资源至关重要.
- 识别影响出院的因素可以改善日间手术环境中的患者流动.
研究的目的:
- 为了调查影响腹腔镜尾切除术后患者出院的术前因素.
- 评估手术内和手术后康复对出院时间表的影响.
- 在紧急尾炎病例中确定短期出院的预测标志物.
主要方法:
- 在日间外科病房进行腹腔镜尾切除的158名患者的回顾性分析.
- 将患者分为白天 (≤48小时停留) 和常规 (>48小时停留) 组.
- 在不同组之间比较手术前,手术内和手术后的变量.
主要成果:
- 术前的诸如年龄,白细胞计数,全身炎症反应指数 (SIRI) 和尾直径等因素影响出院时间.
- 尾直径,SIRI和白细胞计数是术后泄漏的独立风险因素.
- 在SIRI中,短期出院的预测值最高 (ROC:0.876).
- 包括操作时间,排水管放置和病理类型在内的手术内因素也影响了排泄.
结论:
- 系统性炎症反应指数 (SIRI),白细胞计数和尾直径是紧急尾炎患者出院的关键预测指标.
- 这些标记可以帮助预测白天手术环境中的短期出院情况.
- 了解这些因素可以优化尾炎护理的管理和资源配置.
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