中外医学研究
中外醫學研究
중외의학연구
Chinese and Foreign Medical Research
2015年
28期
15-16
,共2页
目标导向治疗%外科高危手术%术前
目標導嚮治療%外科高危手術%術前
목표도향치료%외과고위수술%술전
Goal-directed therapy%High-risk surgical procedure%Preoperative
目的：探讨目标导向治疗在外科高危手术患者术前应用的可行性。方法：选取2011年12月-2014年10月在笔者所在医院行外科手术治疗的高危患者102例，根据术前治疗方法不同分为观察组和对照组各51例，对照组采用常规方法进行治疗，观察组在常规治疗基础上采用目标导向治疗方法进行治疗，观察并比较两组患者术后死亡率、住院时间及并发症发生率。结果：观察组患者术后死亡率、并发症发生率分别为5.9%、35.3%，对照组分别为11.8%、52.9%，观察组均明显低于对照组，差异均有统计学意义(P<0.05)；观察组患者住院时间为(26.1±7.4)d，对照组为(35.8±8.7)d，观察组明显短于对照组，差异有统计学意义(P<0.05)。结论：对外科高危手术患者术前应用目标导向治疗可有效缩短患者术后住院部时间，降低病死率和并发症发生率，具有一定的可行性。
目的：探討目標導嚮治療在外科高危手術患者術前應用的可行性。方法：選取2011年12月-2014年10月在筆者所在醫院行外科手術治療的高危患者102例，根據術前治療方法不同分為觀察組和對照組各51例，對照組採用常規方法進行治療，觀察組在常規治療基礎上採用目標導嚮治療方法進行治療，觀察併比較兩組患者術後死亡率、住院時間及併髮癥髮生率。結果：觀察組患者術後死亡率、併髮癥髮生率分彆為5.9%、35.3%，對照組分彆為11.8%、52.9%，觀察組均明顯低于對照組，差異均有統計學意義(P<0.05)；觀察組患者住院時間為(26.1±7.4)d，對照組為(35.8±8.7)d，觀察組明顯短于對照組，差異有統計學意義(P<0.05)。結論：對外科高危手術患者術前應用目標導嚮治療可有效縮短患者術後住院部時間，降低病死率和併髮癥髮生率，具有一定的可行性。
목적：탐토목표도향치료재외과고위수술환자술전응용적가행성。방법：선취2011년12월-2014년10월재필자소재의원행외과수술치료적고위환자102례，근거술전치료방법불동분위관찰조화대조조각51례，대조조채용상규방법진행치료，관찰조재상규치료기출상채용목표도향치료방법진행치료，관찰병비교량조환자술후사망솔、주원시간급병발증발생솔。결과：관찰조환자술후사망솔、병발증발생솔분별위5.9%、35.3%，대조조분별위11.8%、52.9%，관찰조균명현저우대조조，차이균유통계학의의(P<0.05)；관찰조환자주원시간위(26.1±7.4)d，대조조위(35.8±8.7)d，관찰조명현단우대조조，차이유통계학의의(P<0.05)。결론：대외과고위수술환자술전응용목표도향치료가유효축단환자술후주원부시간，강저병사솔화병발증발생솔，구유일정적가행성。
Objective:To study the feasibility of goal-directed therapy in patients with preoperative high-risk surgical procedure.Method:102 cases of high risk patients for surgical treatment from Dec 2011 to Oct 2014 in our hospital were divided into two groups,the observation group and the control group,51 cases in each group,the control group was treated with conventional methods,based on the conventional treatment the observation group was given goal-directed therapy treatment,postoperative mortality,length of hospital stay and complications of two groups were observed and compared.Result:The postoperative mortality and complication rates of the observation group were 5.9%,35.3%,the control group were 11.8%, 52.9%,the observation group were significantly lower than thoses of the control group,there were statistical significance(P<0.05).The hospitalized time of the observation group was (26.1±7.4)d,the control group was (35.8±8.7)d,the observation group was significantly shorter than that of the control group, there was statistical significance(P<0.05).Conclusion:Preoperative application of goal-directed therapy in patients with high-risk surgical procedure can effectively shorten the inpatient postoperatively in patients with time,reduce the mortality and complication rates has certain feasibility.
