中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
7期
77-79
,共3页
回归分析%耳鼻喉科%危险因素%并发症
迴歸分析%耳鼻喉科%危險因素%併髮癥
회귀분석%이비후과%위험인소%병발증
Regression analysis%Department of ENT%Risk factors%Complication
目的：探讨耳鼻喉科患者术后引发并发症的相关独立危险因素。方法：随机抽选本院耳鼻喉科手术治疗的385例患者进行临床研究，术后出现并发症者59例，采用单因素和多因素回归分析术后出现并发症的相关危险因素。结果：对单因素分析显示有统计学意义的危险因素再进行Logistic回归分析，结果显示手术时间（OR=2.537，P=0.023）、住院时间（OR=5.208，P=0.003）、抗生素使用（OR=2.234，P=0.028）、术中出血量（OR=1.005， P=0.000）、合并高血压（OR=2.013，P=0.015）、感染并发部位（OR=2.711，P=0.013）是耳鼻喉科患者术后引发并发症的独立危险因素。结论：掌握耳鼻喉科患者术后并发症独立危险因素，可指导医生在手术时良好地控制各项并发症诱发危险因素，有效减少并发症的发生，改善患者预后。
目的：探討耳鼻喉科患者術後引髮併髮癥的相關獨立危險因素。方法：隨機抽選本院耳鼻喉科手術治療的385例患者進行臨床研究，術後齣現併髮癥者59例，採用單因素和多因素迴歸分析術後齣現併髮癥的相關危險因素。結果：對單因素分析顯示有統計學意義的危險因素再進行Logistic迴歸分析，結果顯示手術時間（OR=2.537，P=0.023）、住院時間（OR=5.208，P=0.003）、抗生素使用（OR=2.234，P=0.028）、術中齣血量（OR=1.005， P=0.000）、閤併高血壓（OR=2.013，P=0.015）、感染併髮部位（OR=2.711，P=0.013）是耳鼻喉科患者術後引髮併髮癥的獨立危險因素。結論：掌握耳鼻喉科患者術後併髮癥獨立危險因素，可指導醫生在手術時良好地控製各項併髮癥誘髮危險因素，有效減少併髮癥的髮生，改善患者預後。
목적：탐토이비후과환자술후인발병발증적상관독립위험인소。방법：수궤추선본원이비후과수술치료적385례환자진행림상연구，술후출현병발증자59례，채용단인소화다인소회귀분석술후출현병발증적상관위험인소。결과：대단인소분석현시유통계학의의적위험인소재진행Logistic회귀분석，결과현시수술시간（OR=2.537，P=0.023）、주원시간（OR=5.208，P=0.003）、항생소사용（OR=2.234，P=0.028）、술중출혈량（OR=1.005， P=0.000）、합병고혈압（OR=2.013，P=0.015）、감염병발부위（OR=2.711，P=0.013）시이비후과환자술후인발병발증적독립위험인소。결론：장악이비후과환자술후병발증독립위험인소，가지도의생재수술시량호지공제각항병발증유발위험인소，유효감소병발증적발생，개선환자예후。
Objective:To investigate the risk factors related to complications of postoperative patients of Department of ENT. Method:385 cases of ENT operation in our hospital were randomly selected for clinical research,postoperative complications occurred in 59 patients,used a single factor and multi factor regression analysis of risk factors of postoperative complications. Result:The single factor analysis showed a statistically significant risk factor and Logistic regression analysis, the results showed the operation time(OR=2.537,P=0.023),the hospitalization time(OR=5.208,P=0.003),antibiotics (OR=2.234,P=0.028),the amount of bleeding(OR=1.005,P=0.000),hypertension(OR=2.013,P=0.015)were independent risk factors caused postoperative complications of patients in the department of ENT. Conclusion:Independent risk factors of patients with complications of Master Department of ENT after operation,can guide the doctor in the operation is good to control the complications of predisposing risk factors,reduce complications,improve the prognosis of the patients.
