摘要
目的探讨住院手术患者首次静脉血栓栓塞症(VTE)的风险评估及发生情况。方法回顾性分析2021年5月1日至6月30日北京大学深圳医院收治的6532例住院手术患者的临床资料。采用两独立样本t检验、χ^(2)检验等方法对患者的一般资料、入院时Caprini血栓风险评估量表和院内VTE的发生情况进行分析。结果6532例患者入院时Caprini风险评分为(1.81±1.71)分,高、中、低危患者数分别为363例占5.6%、1189例占18.2%、4980例占76.2%;不同性别(t=5.31,χ^(2)=48.31)、住院时间(F=195.21,χ^(2)=548.52)及是否有高血压(t=17.07,χ^(2)=280.89)、糖尿病(t=12.14,χ^(2)=51.18)、吸烟(F=31.71,χ^(2)=53.23)、饮酒(F=18.78,χ^(2)=30.07)患者的VTE风险评分及风险评估等级之间差异有统计学意义(P<0.05)。住院手术患者中共有0.7%(44/6532)的患者发生院内VTE,其中高危患者发生院内VTE24例占6.6%,中危患者14例占1.2%,低危患者6例占0.1%。住院期间VTE高危风险占比最多的科室与最终发生VTE比例最高的前5个科室之间并不完全一致。结论住院手术患者是VTE发生的高危人群,应结合指南将糖尿病、高血压、吸烟、饮酒等风险因素纳入评估模型,同时应重视住院手术患者的VTE风险评估,采取有效的预防措施降低医院VTE的发生率。
Objective To investigate the assessment and occurrence of first-occured venous thromboembolism(VTE)among hospitalized patients.Methods The clinical data of 6532 surgical patients in Shenzhen Hospital,Peking University who were admitted from May 1,2021 to June 30,2021 were collected and analyzed retrospectively.The demographic data,Caprini score at admission and the incidence of VTE during hospitalization were analyzed by two independent sample t test and chi square test.Results The Caprini score at admission of 6532 patients was 1.81±1.71.The number of cases in high,medium and low risks was 363(5.6%),1189(18.2%),4980(76.2%),respectively.There was significant difference in VTE risk assessment scores and grades in different gender(t=5.31,χ^(2)=48.31),length of stay(F=195.21,χ^(2)=548.52)and hypertension(t=17.07,χ^(2)=280.89),diabetes(t=12.14,χ^(2)=51.18),smoking(F=31.71,χ^(2)=53.23)and drinking(F=18.78,χ^(2)=30.07)(P<0.05).Forty-four(0.7%)patients got hospital-acquired VTE totally,among which,24 cases(6.6%)were in high-risk,14 cases(1.2%)were in medium-risk and 6 cases(0.1%)were in low-risk.What′s more,the top five VTE risky departments based on the assessment were not completely consistent with the top five departments with the highest incidence of VTE.Conclusions The hospitalized patients are at high risk of VTE.The risk factors of diabetes,hypertension,smoking,drinking and other related factors should be included in the evaluation model.Meanwhile,the VTE risk assessment of in-patients should be emphasized and prophylactic treatments should be taken to reduce the incidence of VTE.
作者
邓小梅
段俊
胡永换
黄诚章
侯毅芳
Deng Xiaomei;Duan Jun;Hu Yonghuan;Huang Chengzhang;Hou Yifang(General Ward,Shenzhen Hospital,Peking University,Shenzhen 518000,China;Medical Record Statistics Room,Shenzhen Hospital,Peking University,Shenzhen 518000,China;School of Nursing and Health,Henan University,Kaifeng 475004,China;Information Section,Shenzhen Hospital,Peking University,Shenzhen 518000,China;Operating Room,Shenzhen Hospital,Peking University,Shenzhen 518000,China)
出处
《中国实用护理杂志》
2022年第21期1651-1656,共6页
Chinese Journal of Practical Nursing
基金
深圳市科技计划项目(JCYJ20190809111017163)。
关键词
静脉血栓栓塞
外科手术
风险评估
Venous thromboembolism
Surgical procedures,operative
Risk assessment
