摘要 目的通过分析接受腹腔镜根治性膀胱切除术患者的围手术期各因素与术后住院天数的关系,探讨可能影响术后快速康复的因素,为该类患者快速康复策略的制定提供临床数据。方法回顾性分析初次行腹腔镜根治性膀胱切除术的患者共75例,以术后住院天数为观察结果,分析因素包括性别、年龄、术前血红蛋白、术前白蛋白、术前血钠、术前血钾,有无合并高血压、糖尿病,手术时间、术中出血量、术中是否输血、术后血红蛋白、术后白蛋白、术后血钠、术后血钾、术后引流管留置时间、术后是否输血,术后是否发热、肠梗阻,术后是否转入ICU。结果单因素分析提示患者术中出血量、手术时间、术后引流管留置时间与术后住院天数呈正相关(P<0.05),术中是否输血、术后是否转入ICU也显著影响术后住院天数(P<0.05)。多因素分析提示术中出血量、手术时间、术中输血和术后引流管留置时间是患者术后住院天数增加的独立影响因素(P<0.05)。结论手术时间延长、出血量大、术中输血均显著影响腹腔镜根治性膀胱切除术后患者住院天数,是影响患者快速康复的危险影响因素。 Objective To analyze the relationship between perioperative factors and postoperative hospital stay in the patients undergoing laparoscopic radical cystectomy,and to explore the related factors that may affect the rapid recovery after operation,so as to provide clinical data for the formulation of rapid rehabilitation strategy for such patients.Methods A total of 75 patients who underwent laparoscopic radical cystectomy for the first time were retrospectively analyzed.The postoperative hospital stay was taken as the observative results.The analysis factors included gender,age,preoperative hemoglobin,preoperative albumin,preoperative blood sodium,preoperative blood potassium,with or without hypertension and diabetes mellitus,operation time,intraoperative blood loss,intraoperative blood transfusion,postoperative hemoglobin,postoperative albumin,postoperative blood sodium,postoperative blood potassium,postoperative drainage tube indwelling time,postoperative fever,intestinal obstruction,whether transferred to ICU.Results Univariate analysis showed that intraoperative blood loss,operation time,postoperative drainage tube indwelling time were positively related to the postoperative hospital stay(P<0.05),and blood transfusion and conversion to ICU were significantly related to the hospital stay(P<0.05).Multivariate analysis showed that intraoperative blood loss,operation time,intraoperative blood transfusion and postoperative drainage tube indwelling time were independent factors for increasing the postoperative hospital stay(P<0.05).Conclusions The increased intraoperative operation time and blood loss,as well as intraoperative blood transfusion significantly delayed postoperative hospital stay,which were the risk factors affecting the recovery of patients.
机构地区 贵州省人民医院
出处 《现代泌尿生殖肿瘤杂志》 2020年第5期288-291,共4页 Journal of Contemporary Urologic and Reproductive Oncology
分类号 R47 [医药卫生—护理学]
