妇科恶性肿瘤手术患者静脉血栓栓塞症危险因素分析及风险评估表的应用
发布时间：2019-05-09 18:23
【摘要】：目的探讨妇科恶性肿瘤手术患者并发静脉血栓栓塞症(VTE)的危险因素,并评价《住院患者静脉血栓栓塞症风险评估表》在妇科恶性肿瘤手术并发VTE患者中的应用价值。方法选取我院2010年10月至2015年11月期间收治的妇科恶性肿瘤手术患者530例,其中确诊并发VTE者58例,未并发VTE者472例,根据患者年龄、体质量指数(BMI)、肿瘤类型、肿瘤分期、手术方式、手术时长、出血量、有无输血、卧床时间、有无合并症等因素进行统计学分析。应用我院多学科联合制定的新版《住院患者静脉血栓栓塞症风险评估表》对2015年11月至2017年4月收治的317例妇科恶性肿瘤手术患者进行围手术期的动态评估,根据评估结果采取针对性的干预措施,统计VTE的发生率并与未应用评估表的患者进行比较。结果单因素分析结果显示,妇科恶性肿瘤手术患者并发VTE与BMI、肿瘤分期、手术时长、出血量、有无输血、卧床时间有关(P0.05);多因素分析结果显示,年龄、BMI、肿瘤分期、手术时长、手术方式是影响妇科恶性肿瘤手术患者并发VTE的独立危险因素(P0.05)。应用新版《住院患者静脉血栓栓塞症风险评估表》进行评估并采取针对性措施后,VTE的发生率低于应用前[1.89%(6/317)vs 10.9%(58/530)],差异具有统计学意义(P0.05)。结论年龄、BMI、肿瘤分期、手术时长、手术方式是影响妇科恶性肿瘤手术患者并发VTE的独立危险因素。通过在围手术期有效评估VTE发生风险,根据风险评分采取相应有效预防措施,可降低妇科恶性肿瘤手术患者VTE的发生率。
[Abstract]:Objective to investigate the risk factors of venous thrombus embolism (VTE) in patients with gynecological malignant tumor and to evaluate the value of venous thrombus risk assessment form in gynecological malignant tumor patients complicated with VTE. Methods from October 2010 to November 2015, 530 patients with gynecological malignant tumors were selected, including 58 patients with VTE and 472 patients without VTE. According to the patient's age and body mass index (BMI), (BMI), tumor type. Tumor stage, operation method, operation time, bleeding volume, blood transfusion, bed rest time, complications and other factors were statistically analyzed. The perioperative dynamic evaluation of 317 patients with gynecological malignant tumor from November 2015 to April 2017 was carried out by using the new version of "risk Assessment form for venous thrombosis of inpatients", which was jointly developed in our hospital. According to the results of the evaluation, the incidence of VTE was counted and compared with that of patients who did not use the evaluation form. Results univariate analysis showed that VTE was related to BMI, tumor stage, long operation time, blood loss, blood transfusion and bed rest time in patients with gynecological malignant tumor (P 0.05). The results of multivariate analysis showed that age, BMI, tumor stage, long operation time and operation mode were independent risk factors for VTE in patients with gynecological malignant tumors (P 0.05). After evaluating the risk assessment form of venous thrombosis in inpatients and taking targeted measures, the incidence of VTE was lower than that before application [1.89% (6 鈮，
本文编号：2472984
[Abstract]:Objective to investigate the risk factors of venous thrombus embolism (VTE) in patients with gynecological malignant tumor and to evaluate the value of venous thrombus risk assessment form in gynecological malignant tumor patients complicated with VTE. Methods from October 2010 to November 2015, 530 patients with gynecological malignant tumors were selected, including 58 patients with VTE and 472 patients without VTE. According to the patient's age and body mass index (BMI), (BMI), tumor type. Tumor stage, operation method, operation time, bleeding volume, blood transfusion, bed rest time, complications and other factors were statistically analyzed. The perioperative dynamic evaluation of 317 patients with gynecological malignant tumor from November 2015 to April 2017 was carried out by using the new version of "risk Assessment form for venous thrombosis of inpatients", which was jointly developed in our hospital. According to the results of the evaluation, the incidence of VTE was counted and compared with that of patients who did not use the evaluation form. Results univariate analysis showed that VTE was related to BMI, tumor stage, long operation time, blood loss, blood transfusion and bed rest time in patients with gynecological malignant tumor (P 0.05). The results of multivariate analysis showed that age, BMI, tumor stage, long operation time and operation mode were independent risk factors for VTE in patients with gynecological malignant tumors (P 0.05). After evaluating the risk assessment form of venous thrombosis in inpatients and taking targeted measures, the incidence of VTE was lower than that before application [1.89% (6 鈮，
本文编号：2472984
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