中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
14期
2121-2123
,共3页
胰腺,创伤和损伤%危险因素
胰腺,創傷和損傷%危險因素
이선,창상화손상%위험인소
Pancreas%Wound and injuries%Risk factors
目的 分析影响胰腺损伤预后的危险因素.方法 回顾性分析73例胰腺损伤患者的临床资料,对患者入院时的临床指标进行单因素分析及Logistic回归分析.结果 73例患者中有并发症27例(36.9％),死亡6例(8.2％),单因素分析表明失血量、收缩压、美国创伤外科(AAST)胰腺损伤分级、胰漏、受伤至入院时间对并发症的发生率有显著影响(P＜0.05).Logistic回归分析示失血量、收缩压、AAST胰腺损伤分级、受伤至入院时间是影响胰腺损伤预后的独立危险因素(OR值=3.764、0.940、7.315、1.501,均P＜0.05).结论 临床需重视影响胰腺损伤预后的各项危险因素,对病情做出准确判断,制定合理的治疗方案,有助于提高胰腺损伤的救治成功率.
目的 分析影響胰腺損傷預後的危險因素.方法 迴顧性分析73例胰腺損傷患者的臨床資料,對患者入院時的臨床指標進行單因素分析及Logistic迴歸分析.結果 73例患者中有併髮癥27例(36.9％),死亡6例(8.2％),單因素分析錶明失血量、收縮壓、美國創傷外科(AAST)胰腺損傷分級、胰漏、受傷至入院時間對併髮癥的髮生率有顯著影響(P＜0.05).Logistic迴歸分析示失血量、收縮壓、AAST胰腺損傷分級、受傷至入院時間是影響胰腺損傷預後的獨立危險因素(OR值=3.764、0.940、7.315、1.501,均P＜0.05).結論 臨床需重視影響胰腺損傷預後的各項危險因素,對病情做齣準確判斷,製定閤理的治療方案,有助于提高胰腺損傷的救治成功率.
목적 분석영향이선손상예후적위험인소.방법 회고성분석73례이선손상환자적림상자료,대환자입원시적림상지표진행단인소분석급Logistic회귀분석.결과 73례환자중유병발증27례(36.9％),사망6례(8.2％),단인소분석표명실혈량、수축압、미국창상외과(AAST)이선손상분급、이루、수상지입원시간대병발증적발생솔유현저영향(P＜0.05).Logistic회귀분석시실혈량、수축압、AAST이선손상분급、수상지입원시간시영향이선손상예후적독립위험인소(OR치=3.764、0.940、7.315、1.501,균P＜0.05).결론 림상수중시영향이선손상예후적각항위험인소,대병정주출준학판단,제정합리적치료방안,유조우제고이선손상적구치성공솔.
Objective To analyze the risk factors that influence prognosis of pancreatic injury.Methods The clinical data of 73 patients with pancreatic injury were analyzed retrospectively.Univariate analysis and multivariate Logistic regression were performed to analyze the clinical parameters.Results Complications occurred in 27 patients with the overall incidence rate of 36.9％.6 patients died with the mortality of 8.2％.Result of univariate analysis indicated that the volume of blood loss,systolic blood pressure,injury grade by American Association surgery of Trauma (AAST),pancreatic leakage,time on admission were significant factors that influence the incidence rate of complications (P ＜ 0.05).The results of Multivariate Logistic regression indicated that the volume of blood loss,systolic blood pressure,injury grade by AAST,time on admission were independent predictors for prognosis in pancreatic injury (OR =3.764,0.940,7.315,1.501,all P ＜ 0.05).Conclusion It should pay attention to all the factors that influence the prognosis of pancreatic injury in clinic.Exact judgment and appropriate treatment plan are helpful to increase achievement ratio of pancreatic injury.
