文章摘要
Hussman病情和体质状况评估方法预测围术期并发症
Application of Hussman's preoperative risk assessment in predicting the intraoperative complications
  
DOI：
中文关键词: 麻醉  手术  风险评估  风险防范  并发症
英文关键词: Anesthesia  Surgery  Risk assessment  Risk prevention  Complication
基金项目:原南京军区医学科技创新项目(2013-MS038)
作者单位E-mail
徐德朋 221004,徐州市,解放军第97医院麻醉科  
张燕燕 221004,徐州市,解放军第97医院麻醉科  
王超 221004,徐州市,解放军第97医院麻醉科  
杨磊 221004,徐州市,解放军第97医院麻醉科  
马福嫣 221004,徐州市,解放军第97医院麻醉科  
刘春意 221004,徐州市,解放军第97医院麻醉科  
江学成 221004,徐州市,解放军第97医院麻醉科 jiangxc99@126.com 
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中文摘要:
      目的 探讨Hussman病情和体质状况评估方法预测围术期并发症的作用。方法 2015年5月至2016年5月各科手术患者2 494例，男1 462例，女1 032例，采用Hussman病情和体质状况评估方法进行风险评估，观察并记录围术期并发症的发生情况。结果 2 494例患者围术期发生并发症336例(13.47%)，其中心血管并发症是主要并发症，占80.7%。风险等级1、2、3、4、5级患者分别有1 540例(61.75%)、660例(26.46%)、202例(8.10%)、80例(3.21%)和12例(0.48%)，发生并发症分别有112例(7.28%)、82例(12.42%)、82例(40.59%)、50例(62.50%)和10例(83.33%)，敏感度分别为33.33%、24.40%、24.40%、14.88%和2.78%，特异度分别为33.76%、73.26%、94.44%、98.61%和99.91%，准确度分别为33.76%、66.64%、85.01%、87.33%和86.85%。结论 Hussman病情和体质状况评估方法能较好地预测围术期并发症。
英文摘要:
      Objective To explore relationship of the anesthetic risks and intraoperative complications. Methods Preoperative anesthetic risks were assessed with Hussmans method from May 2015 to May 2016 in 2 494 surgical patients, including 1 462 males and 1 032 females. Intraoperative data and complications were tracked and recorded. Results Three hundred and thirty-six intraoperative complications occurred, accounting for 13.47% of total patients. The cardiovascular complications were a major intraoperative complications, accounting for 80.7%. 2 494 patients were graded respectively into risk grade 1 with 1 540 (61.75%), grade 2 with 660 (26.46%), grade 3 with 202 (8.10%), grade 4 with 80 (3.21%) and grade 5 with 12 (0.48%). The incidence of complications were 112 (7.28%), 82 (12.42%), 82 (40.59%), 50 (62.50%) and 10 (83.33%) respectively. The sensitivity of prediction was 33.33%, 24.40%, 24.40%, 14.88% and 2.78%; the specificity 33.76%, 73.26%, 94.44%, 98.61% and 99.91%; and the accuracy 33.76%, 66.64%, 85.01%, 87.33% and 86.85%, respectively, in patients with risk grade 1, 2, 3, 4 and 5. Conclusion Hussman's method of anesthetic risks well predicts the intraoperative complications.
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