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目的分析手术并发症及相关因素,探讨降低并发症发生率的措施。方法对2009年-2013年某院486例手术并发症的病案首页资料进行回顾性统计分析,主要从手术并发症的分类、性别分布、年龄分布、并发症对住院日和费用的影响四方面进行统计分析。采用SPSS 13.0统计软件分析数据,计量资料以均数±标准差((±s)表示,两组计数资料的比较采用x2检验。结果手术并发症以术后出血或血肿为主,占60.5%,其次是术后窦道形成,占13.0%,两者共占73.5%。年龄在65岁以上,并发症发生率为4.29‰,属于高风险年龄段。年龄小于65岁的属于低风险,并发症发生率为2.44‰,年龄组差异有统计学意义(P<0.05)。男性并发症发生率3.4‰,女性并发症发生率1.9‰,男性高于女性(P<0.05)。手术并发症延长了住院日、增加了医疗费用。结论医院要加强对手术并发症的重点防范,严格手术操作规程,提高手术技能,增强责任心,尽可能减少手术并发症,积极预防术后并发症的发生,保证医疗安全和减少医疗纠纷。
Objective To analyze the surgical complications and related factors and discuss the measures to reduce the incidence of complications. Methods The data of 486 cases of primary complications in a hospital from 2009 to 2013 were retrospectively analyzed, mainly from the classification of operative complications, gender distribution, age distribution and the impact of complications on hospitalization days and expenses Statistical Analysis. The data were analyzed by SPSS 13.0 statistical software, the measurement data were expressed as mean ± standard deviation ( ± s), and the comparison of the two sets of count data was performed by x2 test.Results The main complications were postoperative bleeding or hematoma, accounting for 60.5% , Followed by the formation of postoperative sinus, accounting for 13.0%, both accounted for 73.5% .Age over 65 years of age, the complication rate was 4.29 ‰, belonging to high-risk age group.At age less than 65 years of age are low-risk, complicated The incidence of disease was 2.44 ‰, and there was significant difference between age groups (P <0.05) .The incidence of male complication was 3.4 ‰, the incidence of female complication was 1.9 ‰, and the male was higher than that of female (P <0.05) The hospitalization day, increased the medical expenses.Conclusion The hospital should strengthen the prevention of key complications of surgery, strict surgical procedures, improve surgical skills, enhance responsibility, minimize surgical complications, and actively prevent the occurrence of postoperative complications, Ensure medical safety and reduce medical disputes.