骨科手术风险度评分的建立及效能评价Orthopedic surgical risk score of the establishment and performance evaluation
张玉坤;盛伟斌;唐庆;胡永胜;黄卫民;周纲;
摘要(Abstract)：
[目的]建立骨科手术风险度评分标准,并验证其效能。[方法]对本院2009年3月～2010年8月期间768例骨科手术病人的术前、术中临床资料进行单因素对比分析,筛选引起手术并发症的风险因素,然后对这些风险因素进行Logistic多元回归分析,建立骨科手术风险度评分标准。运用此评分标准对本院2010年9月～2010年11月160例脊柱外科患有脊柱疾患的手术病人进行评估,并验证其效能。[结果]多因素分析显示年龄、术前4周内手术次数、手术级别、术中出血量、胸片异常、心功能、血糖、白蛋白、手术时间、肾功是术后出现并发症的风险因素。依此评分标准评估术后并发症的总体符合率达到80%以上。[结论]在围手术期应用骨科手术风险度评分(ORAOS)能够较准确的预测骨科手术后并发症的发生。严格地选择病人、做好充分的术前准备及正确的围手术期处理是降低并发症的关键。
关键词(KeyWords)： 骨科手术风险度评分;术后并发症;危险因素
基金项目(Foundation):
作者(Author): 张玉坤;盛伟斌;唐庆;胡永胜;黄卫民;周纲;
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参考文献(References)：
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