耳鼻喉科手术患者术后并发症危险因素分析

Analysis of risk factors on postoperative complications of patients in department of ENT

目的探讨耳鼻喉科手术患者术后并发症的危险因素。方法回顾性分析本院2008年10月～2010年12月收治的耳鼻喉科患者376例的临床资料,其中52例发生了术后并发症,采用单因素分析和Logistic回归分析耳鼻喉科手术患者术后并发症的危险因素。结果经单因素分析和Logistic回归分析,感染并发部位(P=0.000,HR=14.283,95.0%CI:9.365～21.038)、手术时间(P=0.000,HR=13.716,95.0%CI:7.147～20.275)、住院时间(P=0.002,HR=15.208,95.0%CI:8.918～24.237)、抗生素使用(P=0.000,HR=14.054,95.0%CI:8.163～21.739)、高血压(P=0.000,HR=13.976,95.0%CI:7.926～22.385)均是耳鼻喉科手术患者术后并发症的危险因素。结论控制耳鼻喉患者术后感染和出血的主要危险因素可以明显改善预后。

Objective To investigate the risk factors on postoperative complications of patients in department of ENT. Methods Clinical datas of 376 patients in department of ENT were retrospectively analyzed in the hospital from October 2008 to December 2010. 52 patients had postoperative complications. The single factor analysis and Logistic regression analysis were used for risk factors on postoperative complications of patients in department of ENT. Results By single factor analysis and Logistic regression analysis, infection site （P = 0.000, HR = 14.283, 95.0%CI： 9.365-21.038）, operation time （P = 0.000, HR = 13.716, 95.0%CI： 7.147-20.275）, the hospitalization time （P = 0.002, HR = 15.208, 95.0%CI： 8.918-24.237）, antibiotic use （P = 0.000, HR = 14.054, 95.0%CI： 8.163-21.739）, hypertension （P = 0.000, HR = 13.976, 95.0%CI： 7.926-22.385） were risk factors on postoperative complications of patients in department of ENT. Conclusion Control of the major risk factors of postoperative infection and bleeding of patients in department of ENT can significantly improve the prognosis.