关于二次通用腹膜炎的预后因素的文献综述
Valerii Luțenco1,2, Adrian Beznea1,2, Raul Mihailov1,2
1Faculty of Medicine and Pharmacy, "Dunărea de Jos" University of Galati, 800008 Galați, Romania.
Life (Basel, Switzerland)
|June 26, 2025
概括
确定泛性二次周周炎的预后因素至关重要. 高龄,器官衰竭和并发症表明预后不佳,而人工智能在风险分层方面显示出前景.
科学领域:
- 手术感染 手术感染
- 关键护理医学 关键护理医学
- 预测因素分析预测因素分析
背景情况:
- 泛性二次腹膜炎是一种严重的腹腔内感染,患病率和死亡率高.
- 目前的手术和抗微生物疗法在改善患者结果方面存在局限性.
- 准确的预后评估对于有效的患者管理至关重要.
研究的目的:
- 审查一般化二次周周炎的预后指标.
- 评估评分系统和人工智能 (AI) 在风险分层中的作用.
- 为了确定影响患者在这种关键条件下的结果的因素.
主要方法:
- 在主要数据库 (PubMed,科学网,Scopus,Medline) 进行了全面的文献审查.
- 包括在2000年至2024年间发表的研究,重点关注二次腹膜炎的预后因素.
- 数据提取涵盖了人口统计,并发症,严重程度得分,微生物学和人工智能应用.
主要成果:
- 晚年,严重的败血症,器官衰竭,慢性病,心血管疾病和糖尿病与预后不佳有关.
- 曼海姆腹膜炎指数 (MPI),APACHE II和SOFA分数是已知的预后工具.
- 耐多药性感染加剧了不良结果.
- 机器学习算法显示了增强风险分层和个性化预测的潜力.
结论:
- 确定关键的预后因素对于优化二次周周炎的结果至关重要.
- 传统的评分系统仍然很有价值,但人工智能集成提供了更好的预测能力.
- 未来的研究应该集中在验证和整合人工智能模型到临床实践中进行术后管理.
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