甲状腺疾病术后患者静脉输液治疗相关因素的分析

Relevant factors of intravenous infusion among thyroid disease patients after operation

目的探讨甲状腺疾病患者术后静脉输液治疗相关因素。方法采用便利抽样法,选取北京协和医院2017年6—12月行手术治疗甲状腺疾病患者600例,对术后静脉治疗目的、输液率进行分析,同时分析甲状腺术后患者静脉治疗的影响因素,采用SPSS 21.0统计软件对数据进行分析。结果研究结果显示,甲状腺术后静脉治疗的主要目的为补充钙剂和应用激素减轻局部水肿,术后第1天静脉输液率为14.67%(88/600);单因素分析结果显示,有无甲状腺手术史、有无进行颈淋巴结清扫、不同淋巴结清扫范围以及手术范围的甲状腺术后患者,在术后是否进行静脉输液方面差异有统计学意义(P<0.05);以是否进行静脉输液治疗为因变量,以单因素分析中具有统计学意义的变量为自变量,进行Logistic回归分析,结果显示,有无甲状腺手术史、不同淋巴结清扫范围以及手术范围是甲状腺术后患者是否进行静脉输液治疗的影响因素。结论甲状腺疾病术后患者是否进行静脉输液治疗可能与有无甲状腺手术史、不同淋巴结清扫范围以及手术范围有关,医务工作者应明确患者静脉输液治疗的目的,制订适宜患者的静脉输液治疗计划,降低相关并发症发生率,提高护理质量。

Objective To explore the relevant factors of intravenous infusion among thyroid disease patients after operation. Methods From June to December 2017, we selected 600 thyroid disease patients with operation in Peking Union Medical College Hospital by convenience sampling. We analyzed the intravenous therapy aims, rates of infusion and influencing factors of intravenous therapy among patients after thyroid operation. SPSS 21.0 was used to data analysis. Results The main aims of intravenous therapy after thyroid operation were the calcium supplement and to reduce local edema. The rate of infusion was 14.67%(88/600) one day after operation. Single factor analysis showed that there were statistical differences in intravenous infusion among patients after thyroid operation with history of thyroid operation and neck dissection or not, different extents of lymph node dissection as well as operation (P<0.05). Logistic regression was used by taking intravenous infusion as the dependent variable and taking variables with statistical differences in single factor analysis as independent variables. The results showed that the influencing factors of intravenous infusion among patients after thyroid operation included being with history of thyroid operation or not, different extents of lymph node dissection as well as operation. Conclusions Intravenous infusion among patients after thyroid operation may be related to be with history of thyroid operation or not, different extents of lymph node dissection as well as operation. Medical staff should make clear the aims of intravenous therapy and make suitable plans for intravenous infusion therapy to reduce the incidence of complications and improve nursing quality.