CAJ | 학술논문

目的：分析手术并发症及相关因素，探讨降低并发症发生率的措施。方法对2009年-2013年某院486例手术并发症的病案首页资料进行回顾性统计分析，主要从手术并发症的分类、性别分布、年龄分布、并发症对住院日和费用的影响四方面进行统计分析。采用SPSS 13.0统计软件分析数据，计量资料以均数±标准差（（X±s）表示，两组计数资料的比较采用x2检验。结果手术并发症以术后出血或血肿为主，占60.5%，其次是术后窦道形成，占13.0%，两者共占73.5%。年龄在65岁以上，并发症发生率为4.29‰，属于高风险年龄段。年龄小于65岁的属于低风险，并发症发生率为2.44‰，年龄组差异有统计学意义(P＜0.05)。男性并发症发生率3.4‰，女性并发症发生率1.9‰，男性高于女性(P＜0.05)。手术并发症延长了住院日、增加了医疗费用。结论医院要加强对手术并发症的重点防范，严格手术操作规程，提高手术技能，增强责任心，尽可能减少手术并发症，积极预防术后并发症的发生，保证医疗安全和减少医疗纠纷。
목적：분석수술병발증급상관인소，탐토강저병발증발생솔적조시。방법대2009년-2013년모원486례수술병발증적병안수혈자료진행회고성통계분석，주요종수술병발증적분류、성별분포、년령분포、병발증대주원일화비용적영향사방면진행통계분석。채용SPSS 13.0통계연건분석수거，계량자료이균수±표준차（（X±s）표시，량조계수자료적비교채용x2검험。결과수술병발증이술후출혈혹혈종위주，점60.5%，기차시술후두도형성，점13.0%，량자공점73.5%。년령재65세이상，병발증발생솔위4.29‰，속우고풍험년령단。년령소우65세적속우저풍험，병발증발생솔위2.44‰，년령조차이유통계학의의(P＜0.05)。남성병발증발생솔3.4‰，녀성병발증발생솔1.9‰，남성고우녀성(P＜0.05)。수술병발증연장료주원일、증가료의료비용。결론의원요가강대수술병발증적중점방범，엄격수술조작규정，제고수술기능，증강책임심，진가능감소수술병발증，적겁예방술후병발증적발생，보증의료안전화감소의료규분。
Abstract Objective To analyze surgical complications and related factors, explore the measures to reduce the incidence of complications.Methods Retrospective statistical analysis was taken for 486 cases of surgical complications in a hospital from 2009 to 2013. the classification of surgical complications, gender, age distribution, the influence of the complications on hospital stay and expenses were analyzed. Using(X±s),x2and SPSS 13.0 statistical software to analyze data.ResultsThe main surgical complications are postoperative hemorrhage and hematoma, accounted for 60.5%, followed by postoperative fistula formation, accounting for 13.0%, both accounted for 73.5%. Aged 65 or older, complication rate was 4.29‰, Belong to high risk age. Younger than 65 years old belongs to low risk, the complication rate was 2.44‰. Age group difference was statistically significant(p<0.05). Male complication rate 3.4‰, female complication rate 1.9‰, male was significantly higher than female (p<0.05). Surgical complications extended hospital stay and increased medical expenses.Conclusion Hospital should strengthen the key prevention of surgical complications, strict operation regulations, improve operation skills, enhance the sense of responsibility, minimize surgical complications, actively prevent the occurrence of postoperative complications and ensure medical safety and reduce medical disputes.