在剖腹产期间进行手术内发的诺莫格拉姆预测模型的构建
Jinghui Liu1,2, Shan Huang1, Luwen Zhang2
1Department of Surgery and Anesthesia III, Zhongshan City People's Hospital, Zhongshan, Guangdong, People's Republic of China.
International journal of women's health
|September 29, 2025
概括
这项研究确定了剖腹产期间手术内发的关键风险因素,并开发了一个名谱模型来预测和管理孕妇发风险.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 临床预测建模临床预测建模
背景情况:
- 术后是剖腹产期间常见的并发症,影响母亲的舒适度和结果.
- 识别高风险发的患者对于及时干预至关重要.
研究的目的:
- 确定剖腹产患者手术期间发的独立风险因素.
- 构建和验证一个预测模型,用于手术内发.
- 通过减少发的发生率,改善外科手术期间的护理和母亲的结果.
主要方法:
- 对260名剖腹产患者的回顾性分析.
- 后勤回归分析以确定独立的风险因素.
- 开发和验证一个名ogram预测模型,包括AUC,Hosmer-Lemeshow和DCA.
主要成果:
- 在手术期间发的发生率为32.69%.
- 确定了独立的风险因素:BMI,基线温度,ASA分类,液体输液量和血液损失.
- 诺莫格拉姆模型显示出良好的区分能力 (AUC=0.914) 和校准.
结论:
- 开发的诺米图是预测剖腹产患者手术期间发风险的一个有价值的工具.
- 早期识别高风险患者可以进行有针对性的干预.
- 实施这种模型可以提高手术期间的舒适度,并改善母亲的术后结果.
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