摘要
目的：探讨分析骨科患者术后死亡及并发症发生的危险因素。方法回顾性分析935例骨科住院接受手术治疗的患者，统计术后死亡及并发症发生情况，对导致严重结局的危险因素行多因素logistic回归分析，针对危险因素提出预防性护理措施。结果935例患者中，围手术期内发生术后并发症82例，占8．77％；32例死亡，占3．42％。经logistic多元回归分析，术前肾功能不全、呼吸系统慢性疾病、心功能不全、房颤、心肌供血不足、脑血管病史是导致骨科患者术后死亡及并发症的独立危险因素（P＜0．05）。结论术前肾功能不全、呼吸系统慢性疾病、心功能不全、房颤、心肌供血不足、脑血管病史6个因素为骨科术后死亡及并发症发生的独立危险因素，护理人员应针对危险因素给予积极预防和干预。
Objective To explore the risk factors on the death and complications of orthopedics patients after operation .Methods Nine hundred and thirty-five hospitalized patients in the department of orthopedics were retrospectively analyzed and the occurrence of death and complications after operation were statistics .The risk factors on causing serious outcome were analyzed by the multivariate logistic regression analysis , and the preventive nursing measures were taken according to the risk factors .Results The cases of postoperative complication were 82 cases （82/935,8.77%）, and the cases of death were 32 cases （32/935,3.42%）.The multivariate logistic regression analysis showed that preoperative renal insufficiency , chronic respiratory diseases , heart failure, atrial fibrillation, myocardial ischemia and cerebrovascular diseases were the independent risk factors on leading to the death and complications of orthopedics patients after surgery （P〈0.05）.Conclusions Six factors including preoperative renal insufficiency , chronic respiratory diseases, heart failure, atrial fibrillation, myocardial ischemia and cerebrovascular diseases are the independent risk factors on the death and complications of orthopedics patients after operation , and the nurses should give the positive prevention and intervention according to the risk factors .
出处
《中华现代护理杂志》
2014年第22期2801-2803,共3页
Chinese Journal of Modern Nursing
关键词
骨科
死亡
手术后并发症
危险因素
护理
Department of orthopedics Death Postoperative complications Risk factors Nursing
