摘要
目的通过构建胃癌术后腹腔感染早期预警评分,探讨胃癌术后腹腔感染预警评分与改良预警评分对胃癌术后发生腹腔感染的预测效能。方法回顾性分析以构建胃癌术后腹腔感染预警评分,选取2018年6-12月在南京医科大学附属第一医院行胃癌根治术的342例患者,分别采用腹腔感染预警评分与改良预警评分对术后患者进行评分,比较两者预测胃癌术后腹腔感染发生的能力。结果以胃癌术后并发腹腔感染为结局指标,胃癌术后腹腔感染预警评分对患者发生腹腔感染鉴别的ROC曲线下面积AZ=0.977,灵敏度93.1%,特异度93.3%;改良预警评分对患者腹腔感染鉴别的ROC曲线下面积AZ=0.924,灵敏度82.8%,特异度84.7%。胃癌术后腹腔感染预警评分的预测能力优于改良预警评分,差异有统计学意义(χ^2值为54.606、315.479,P<0.05)。结论胃癌术后腹腔感染预警评分较好预测胃癌术后腹腔感染的发生,具有较强的专科性、可行性和有效性。
Objective To establish a Early Warning Score for Intra-Abdominal Infection after gastrectomy,comparing the efficiency of Modified Early Warning Score,Early Warning Score for Intra-Abdominal Infection in patients after gastrectomy.Methods Retrospective analysis was performed to construct the Early Warning Score for Intra-Abdominal Infection.And 342 patients with gastrectomy in the First Affiliated Hospital with Nanjing Medical University from June 2018 to December 2018 were investigated by the two scales,and the efficiency of Early Warning Score for Intra-Abdominal Infection and Modified Early Warning Score was compared.The ability of the two methods to predict the occurrence of abdominal infection after gastrectomy was compared.Results Take the predictive index,the area under the ROC curve of Early Warning Score for Intra-Abdominal Infection was 0.977,the sensitivity and specificity were 93.1%and 93.3%.Under the same circumstances,the area under the ROC curve of Modified Early Warning Score was 0.924,the sensitivity and specificity were 82.8%and 84.7%.Early Warning Score for Intra-Abdominal Infection had better predictive ability than the Modified Early Warning Score,and the difference was statistically significant(χ^2 values were 54.606,315.479,P<0.05).Conclusions Early Warning Score for Intra-Abdominal Infection can provide effective early warning for abdominal infection after gastrectomy,with strong specialization,feasibility and effectiveness.
作者
杨春静
陈丽
侯慧
Yang Chunjing;Chen Li;Hou Hui(Department of Gastrointestinal Surgery,the First Affiliated Hospital with Nanjing Medical University,Nanjing 210029,China)
出处
《中国实用护理杂志》
2020年第19期1502-1506,共5页
Chinese Journal of Practical Nursing
基金
江苏省人民医院2017年度护理科研课题(YHK201734)。
关键词
胃肿瘤
腹腔感染
早期预警评分
风险预测
Stomach neoplasms
Intra-abdominal infection
Early Warning Score
Risk prediction
