系统化风险前瞻应对体系在肝破裂患者中应用效果观察

Observation on the effect of systematic risk prospective response system in patients with liver rupture

目的探讨肝破裂患者采用系统化风险前瞻应对体系的效果。方法选取2019年7月~2021年3月收治的48例肝破裂患者作为对照组,2021年4月~2022年9月实施风险前瞻应对体系后48例肝破裂患者作为观察组。对照组围术期采用常规应对方式,观察组采用系统化风险前瞻应对体系。比较两组手术耐受优良率、围手术期指标及术后并发症。结果观察组手术耐受优良率95.83%,高于对照组的81.25%,差异有统计学意义(P<0.05)。与对照组比较,观察组体温恢复正常及住院时间均更短,术中输血量更少,差异均有统计学意义(P<0.05)。观察组死亡率(6.25%)低于对照组(14.58%),但组间比较差异无统计学意义(P>0.05);观察组术后并发症发生率(8.89%)低于对照组(24.39%),差异有统计学意义(P<0.05)。结论肝破裂患者围术期应用系统化风险前瞻应对体系干预,能够提高手术耐受优良率,有利于患者术后恢复,且能降低术后并发症发生率。

Objective To explore the effect of systematic risk prospective response system in patients with liver rupture.Methods From July 2019 to March 2021,48 patients with liver rupture were treated as the control group,and from April 2021 to September 2022,48 patients were treated as the observation group.The control group adopted routine coping style during the perioperative period,while the observation group adopted systematic risk prospective coping system.The excellent and good rate of surgical tolerance,perioperative indexes and postoperative complications were compared between the two groups.Results The excellent and good rate of surgical tolerance in the observation group was 95.83%.The difference was statistically significant(P<0.05).Compared with the control group,the observation group had a shorter recovery of body temperature and hospitalization time,and had fewer intraoperative blood transfusions,with statistically significant differences(P<0.05).There was no statistically significant difference in mortality rates between the two groups.Compared with 24.39%in the control group,the observation group had a lower postoperative complication rate of 8.89%,and the difference was statistically significant(P<0.05).Conclusion The application of systematic risk prospective response system intervention in patients with liver rupture during perioperative period can improve the excellent rate of surgical tolerance,facilitate the postoperative recovery of patients,and reduce the incidence of postoperative complications.