老年肿瘤患者的手术室高危因素分析
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摘要
目的探讨老年肿瘤患者中的手术室高危因素。方法选取276例老年肿瘤患者,对其中41例术后恢复不佳患者进行危险因素分析。结果经Logistic回归分析后老年肿瘤患者手术室变量中有10个具有统计学意义,分别是手术时间、手卫生、消毒灭菌隔离、环境、手术室布局、手术间、术中应用抗生素、参观人数、侵袭性操作、术中开门次数;多危险因素有手术时间长、消毒灭菌隔离不彻底、术中未应用抗生素、参观人数多、侵袭性操作。结论老年肿瘤预后和手术时间长、消毒灭菌隔离不彻底、抗生素应用和操作布局等因素有关,护理中应及时应用抗生素,严格管理无菌化手术室。
Objective To investigate the risk factors of elderly brain tumor patients in the operating room. Methods A total of 276 elderly patients with brain tumors were selcted,risk factors of 41 cases with poor postoperative recovery were analyzed. Results Logistic regression analysis showed operative time,hand hygiene,sterilization isolation,environment,operating room layout,operating room,intraoperative use of antibiotics,the number of visitors,invasive operation,the number of open surgery were risk factors. Multivariate Logistic regression analysis showed longer surgery time,uncomplete sterilization,no use of antibiotics,more visit times,invasive procedures were risk factors. Conclusion The prognosis of elderly brain tumor patients are correlated with uncomplete sterization,antibiotic use and operation of arrangement. Timely application of antibiotics should strictly manage operating room.
Objective To investigate the risk factors of elderly brain tumor patients in the operating room. Methods A total of 276 elderly patients with brain tumors were selcted,risk factors of 41 cases with poor postoperative recovery were analyzed. Results Logistic regression analysis showed operative time,hand hygiene,sterilization isolation,environment,operating room layout,operating room,intraoperative use of antibiotics,the number of visitors,invasive operation,the number of open surgery were risk factors. Multivariate Logistic regression analysis showed longer surgery time,uncomplete sterilization,no use of antibiotics,more visit times,invasive procedures were risk factors. Conclusion The prognosis of elderly brain tumor patients are correlated with uncomplete sterization,antibiotic use and operation of arrangement. Timely application of antibiotics should strictly manage operating room.
引文
[1]王秀美.神经外科开颅手术后院内感染的高危因素分析与护理控制措施[J].中国冶金工业医学杂志,2014,31(1):73-74.
[2]冯惠霞,黄俊玲,金钰萍,等.深静脉置管在老年肿瘤手术中的危险因素及护理对策[J].中国实用神经疾病杂志,2013,16(13):108-109.
[3]陈婧,梁思华,梁水珍,等.老年肿瘤病人术中压疮风险评估及预防[J].全科护理,2012,10(14):1264-1265.
[4]吕志军,柴晓波,王辉,等.老年肿瘤手术后并发远隔部位急性硬脑膜外血肿的相关危险因素分析[J].中国医师进修杂志,2014,37(35):67-69.
[5]杨初蔚,张建生.原发性脑肿瘤致病危险因素的流行病学研究[J].国际神经病学神经外科学杂志,2012,35(2):163-167.
[6]孙才兴,孟旭莉,谢尚闹,等.脑肿瘤患者开颅术后并发脑膜炎的危险因素分析[J].中华临床感染病杂志,2010,3(3):182-185.
[7]张伟,江玉泉,吴承远,等.颅脑术后颅内葡萄球菌感染的临床分析[J].中国神经精神疾病杂志,2011,34(5):287-290.
[8]余汉辉.脑肿瘤患者认知功能及其影响因素研究[D].南方医科大学,2011,3(4):35-38.
[9]徐军,舒卫权,孙祥冬,等.老年病人颅内肿瘤术后并发呼吸衰竭的相关因素分析[J].老年医学与保健,2011,11(2):119-121.
[10]陈凡帆.破裂颅内动脉瘤患者介入治疗后早期预后的相关危险因素[D].广州医学院,2011,5(3):34-36.
[11]刘广毅,何福江,杨军成,等.174例老年肿瘤临床分析[J].临床口腔医学杂志,2013,29(2):101-103.
[12]柳锋.老年肿瘤术后味觉出汗综合征的临床分析及治疗[J].医学综述,2014,20(8):1526-1528.
[13]石福民,顾占国,翟健,等.老年肿瘤不同切口及路径的手术效果比较[J].临床军医杂志,2014,42(10):1059-1062,1069.
[14]赖卓凯,谢怡,赵云峰,等.不同手术方法在老年肿瘤手术中面神经功能恢复的效果对比[J].中国医药科学,2016,6(11):220-222.
[15]胡玉坤,聂攀,后军,等.功能性老年切除术在老年浅叶良性肿瘤手术中的应用[J].安徽医学,2013,34(4):428-431.
[2]冯惠霞,黄俊玲,金钰萍,等.深静脉置管在老年肿瘤手术中的危险因素及护理对策[J].中国实用神经疾病杂志,2013,16(13):108-109.
[3]陈婧,梁思华,梁水珍,等.老年肿瘤病人术中压疮风险评估及预防[J].全科护理,2012,10(14):1264-1265.
[4]吕志军,柴晓波,王辉,等.老年肿瘤手术后并发远隔部位急性硬脑膜外血肿的相关危险因素分析[J].中国医师进修杂志,2014,37(35):67-69.
[5]杨初蔚,张建生.原发性脑肿瘤致病危险因素的流行病学研究[J].国际神经病学神经外科学杂志,2012,35(2):163-167.
[6]孙才兴,孟旭莉,谢尚闹,等.脑肿瘤患者开颅术后并发脑膜炎的危险因素分析[J].中华临床感染病杂志,2010,3(3):182-185.
[7]张伟,江玉泉,吴承远,等.颅脑术后颅内葡萄球菌感染的临床分析[J].中国神经精神疾病杂志,2011,34(5):287-290.
[8]余汉辉.脑肿瘤患者认知功能及其影响因素研究[D].南方医科大学,2011,3(4):35-38.
[9]徐军,舒卫权,孙祥冬,等.老年病人颅内肿瘤术后并发呼吸衰竭的相关因素分析[J].老年医学与保健,2011,11(2):119-121.
[10]陈凡帆.破裂颅内动脉瘤患者介入治疗后早期预后的相关危险因素[D].广州医学院,2011,5(3):34-36.
[11]刘广毅,何福江,杨军成,等.174例老年肿瘤临床分析[J].临床口腔医学杂志,2013,29(2):101-103.
[12]柳锋.老年肿瘤术后味觉出汗综合征的临床分析及治疗[J].医学综述,2014,20(8):1526-1528.
[13]石福民,顾占国,翟健,等.老年肿瘤不同切口及路径的手术效果比较[J].临床军医杂志,2014,42(10):1059-1062,1069.
[14]赖卓凯,谢怡,赵云峰,等.不同手术方法在老年肿瘤手术中面神经功能恢复的效果对比[J].中国医药科学,2016,6(11):220-222.
[15]胡玉坤,聂攀,后军,等.功能性老年切除术在老年浅叶良性肿瘤手术中的应用[J].安徽医学,2013,34(4):428-431.