骶前囊肿患者术后首次下床跌倒原因分析

Causes of Falls When Patients with Presacral Cysts Get Out of Bed for the First Time After Surgery

目的分析骶前囊肿患者手术治疗后首次下床跌倒的原因。方法以2019年1月至2021年1月于郑州大学附属肿瘤医院接受手术治疗的84例骶前囊肿患者为研究对象,收集患者临床资料,分析患者术后首次下床跌倒的原因。结果本研究纳入男27例,女57例,骶前表皮样囊肿38例,骶前皮样囊肿28例,骶前畸胎瘤14例,骶前尾肠囊肿4例。患者术后首次下床跌倒发生率为11.9%(10/84)。跌倒与未跌倒患者手术次数、下床前接受肌力评估及跌倒风险筛查情况相比,差异有统计学意义(P<0.05),性别、囊肿类型、术后血压和血糖、下床时间点、下床流程知晓情况、医护人员陪同情况相比,差异无统计学意义(P>0.05)。结论骶前囊肿患者术后首次下床跌倒的影响因素为患者手术次数、首次下床前是否接受肌力评估及跌倒风险评估。

Objective To analyze the causes of falls in patients with presacral cysts when they get out of bed for the first time.Methods A total of 84 patients with presacral cysts who underwent surgical treatment at the Affiliated Tumor Hospital of Zhengzhou University from January 2019 to January 2021 were enrolled.The clinical data were collected and reasons of falling when the patients got out of bed for the first time after the operation were analyzed.Results The patients included 27 males,57 females,38 cases of presacral epidermoid cysts,28 cases of presacral dermoid cysts,14 cases of presacral teratomas,and 4 cases of sacrococcygeal cysts.The incidence of falls when the patients got out of bed for the first time after operation was 11.9%(10/84).The patients were divided into two groups according to the fall.There were statistical differences in the number of operations,muscle strength assessment and fall risk screening before getting out of bed between the two groups(P<0.05).There was no statistical difference between the two groups of patients in gender,cyst type,postoperative blood pressure and blood glucose,time of getting out of bed,knowledge of getting out of bed process,and accompanying situation of medical staff(P>0.05).Conclusion The influencing factors of falling when patients with presacral cysts who get out of bed for the first time after surgery are the number of operations,and whether they have received muscle strength assessment and fall risk assessment before getting out of bed for the first time.