中国综合临床
中國綜閤臨床
중국종합림상
Clinical Medicine of China
2015年
12期
1096-1098
,共3页
急性横贯性脊髓炎%住院时间%影响因素
急性橫貫性脊髓炎%住院時間%影響因素
급성횡관성척수염%주원시간%영향인소
Acute transverse myelitis%Days of hospitalization%Influencing factors
目的 探讨急性横贯性脊髓炎患者的住院时间及其影响因素,为减少住院时间寻找有效解决方法.方法 回顾性分析以"急性横贯性脊髓炎"为第一诊断的158例出院患者的病历资料.通过病案号查阅原始病历,补充相关资料.主要包括人口学资料以及神经功能缺损程度、合并症、并发症方面资料.结果 住院时间4.00～41.00 d,平均(17±6)d,其中住院时间≤10 d组23例(14.56％)、＞10～＜20 d组83例(52.53％)、≥20 d组52例(32.91％).3组年龄、神经功能评分比较差异均有统计学意义(F值分别为60.90、8.68,P均＜0.05);3组自费、高血压、糖尿病、尿路感染、深静脉血栓形成比较差异均有统计学意义(x2值分别为20.04、14.27、12.17、9.37、7.05,JP均＜0.05).急性横贯性脊髓炎与年龄、神经功能评分、交费方式相关(OR值分别为1.140、0.500、83.930和0.041,P均＜0.05).结论 疾病本身所致神经功能缺损程度轻重是影响住院时间的最主要因素;控制院内感染、预防深静脉血栓形成、强化医保管理是缩短平均住院日的有效措施.
目的 探討急性橫貫性脊髓炎患者的住院時間及其影響因素,為減少住院時間尋找有效解決方法.方法 迴顧性分析以"急性橫貫性脊髓炎"為第一診斷的158例齣院患者的病歷資料.通過病案號查閱原始病歷,補充相關資料.主要包括人口學資料以及神經功能缺損程度、閤併癥、併髮癥方麵資料.結果 住院時間4.00～41.00 d,平均(17±6)d,其中住院時間≤10 d組23例(14.56％)、＞10～＜20 d組83例(52.53％)、≥20 d組52例(32.91％).3組年齡、神經功能評分比較差異均有統計學意義(F值分彆為60.90、8.68,P均＜0.05);3組自費、高血壓、糖尿病、尿路感染、深靜脈血栓形成比較差異均有統計學意義(x2值分彆為20.04、14.27、12.17、9.37、7.05,JP均＜0.05).急性橫貫性脊髓炎與年齡、神經功能評分、交費方式相關(OR值分彆為1.140、0.500、83.930和0.041,P均＜0.05).結論 疾病本身所緻神經功能缺損程度輕重是影響住院時間的最主要因素;控製院內感染、預防深靜脈血栓形成、彊化醫保管理是縮短平均住院日的有效措施.
목적 탐토급성횡관성척수염환자적주원시간급기영향인소,위감소주원시간심조유효해결방법.방법 회고성분석이"급성횡관성척수염"위제일진단적158례출원환자적병력자료.통과병안호사열원시병력,보충상관자료.주요포괄인구학자료이급신경공능결손정도、합병증、병발증방면자료.결과 주원시간4.00～41.00 d,평균(17±6)d,기중주원시간≤10 d조23례(14.56％)、＞10～＜20 d조83례(52.53％)、≥20 d조52례(32.91％).3조년령、신경공능평분비교차이균유통계학의의(F치분별위60.90、8.68,P균＜0.05);3조자비、고혈압、당뇨병、뇨로감염、심정맥혈전형성비교차이균유통계학의의(x2치분별위20.04、14.27、12.17、9.37、7.05,JP균＜0.05).급성횡관성척수염여년령、신경공능평분、교비방식상관(OR치분별위1.140、0.500、83.930화0.041,P균＜0.05).결론 질병본신소치신경공능결손정도경중시영향주원시간적최주요인소;공제원내감염、예방심정맥혈전형성、강화의보관리시축단평균주원일적유효조시.
Objective To evaluate the days of hospitalization of acute transverse myelitis and its influencing factors.Methods File's of 158 patients with acute transverse myelitis as the first diagnosis in Feicheng Mining Centre Hospital were analyzed retrospectively.Access to the original medical records through the medical record number, and supplemented information, mainly including demographic data, neurological function defect degree, complications and complications.Results Hospitalization time was 4-41 d, an average of (17±6) d,including 23 patients hospitalized time ≤ 10 d(14.56％), 83 cases were ＞ 10-＜20 d(52.53％), 52 cases was≥20 d(32.91％).Age and Neurological score comparative differences are statistically significant (F=60.90,8.68, P＜0.05).Payment method, deep vein thrombosis, comparative differences were statistically significant(x2 =20.04, 14.27, 12.17,9.37,7.05;P＜0.05).There were ralationship between acute transverse myelitis with age, neurological score, payment (OR =1.140, 0.500,83.930,0.041;P＜ 0.005).Conclusion The degree of neurologic impairment is the most important influencing factors of acute transverse myelitis.Controlling hospital infection, preventing deep vein thrombosis, strengthening medical insurance management, are the effective ways to shorten the days of hospitalization of acute transverse myelitis.
