摘要
目的:应用M-POSSUM评分对老年胃肠道肿瘤患者手术风险进行评估,以评价该评分的临床有效性,同时对多个手术风险的单因素进行分析,为临床治疗决策提供参考。方法:对250例手术的老年胃肠道肿瘤手术患者进行M-POSSUM评分,同时统计术后实际并发症和死亡率,并与评分预测值进行比较,就有可能产生并发症和死亡的多个单因素进行比较分析。结果:M-POSSUM评分预测并发症和死亡率分别为36.7%和7.8%,与实际并发症(32.4%)和死亡率(5.6%)较为接近;单因素分析比较显示6个单因素与并发症的产生有关联,2个单因素与患者死亡有关联。结论:M-POSSUM评分系统可以较好地预测老年胃肠道肿瘤患者术后并发症和死亡率;6个手术风险的单因素应引起临床医师的高度重视。
Objective： By using modified physiological and operative score for the enumeration of mortality and morbidity（M-POSSUM）seoring system to estimate the surgical risk of the aged gastrointestinal tumor patients, and then to prove the reliability of the scoring system, and to analyze the multiple single factors of the surgical risk in order to acquire therapy reference Methods： The M-POSSUM scoring system was performed on 250 aged postoperative patients with gastrointestinal tumor, and the actual complications and mortality were analyzed and compared with the predicting rate. The multiple Single factors that were possibly linked with the complications and death were analyzed. Results：The predicting-complication rate and mortality were 36.7% and 7. 8%, respectively, which was close to the actual results in 250 patients（32. 4% and 5. 6%, respectively）. Single factor analysis revealed that 6 single factors had the relationship to the complications, and 2 single factors to the death. Conclusion： M-POSSUM scoring system can predict the postoperative complications and mortality of the aged gastrointestinal tumor patients. Clinical physicians should pay an attention to these 6 single factors of surgical risk.
出处
《医学理论与实践》
2009年第2期129-132,共4页
The Journal of Medical Theory and Practice
