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为探讨卵巢癌缩瘤术后入住重症监护病房 (ICU )监护的指征 ,将 2 4例卵巢癌缩瘤术后入 ICU监护的患者按监护时间≤ 48h及 >48h分为 A组 (13例 )及 B组 (11例 )。对术前 5个变量 (年龄、美国麻醉学会评分、体重、白蛋白水平及初次或再次手术 )及术中 4个变量 (失血量、腹水量、手术时间、有否肠切除等 )进行了比较 ,并对这些变量与监护时间进行了单因素直线相关分析。结果 :A、B两组术前 5个变量均无显著性差异 (P均 >0 .0 5 ) ;术后 4个变量中 ,除 B组肠切除发生率 (6 3.6 % )明显高于 A组 (15 .4% ,P <0 .0 5 )外 ,其余 3个变量均无显著性差异 (P均>0 .0 5 )。对 B组上述各变量与 ICU监护时间行直线相关分析 ,结果显示 :ASA评分、白蛋白水平及失血量与监护时间明显相关 (P <0 .0 5 )。说明卵巢癌缩瘤术后患者术前 ASA评分高、白蛋白水平低、术中失血多以及实施了肠切除的患者 ,术后更应在 ICU中监护治疗
To investigate the indications of intensive care unit (ICU) monitoring after ovarian tumor shrinkage surgery, 24 patients with ovarian cancer after tumor resection into ICU monitoring were divided into group A (13 cases ) And group B (11 cases). Five preoperative variables (age, ASA score, body weight, albumin level and initial or reoperation) and 4 variables (blood loss, amount of ascites, duration of surgery, bowel resection, etc.) were compared , And a single factor linear correlation analysis of these variables and monitoring time. Results: There was no significant difference in preoperative five variables between A and B groups (P> 0.05). Among the four variables, the incidence of enteral resection in group B (36.6%) was significantly higher than that in group A Group (15.4%, P <0.05), the other three variables had no significant difference (all P> 0.05). The linear correlation analysis between the above variables and ICU monitoring time in group B showed that ASA score, albumin level and blood loss were significantly correlated with monitoring time (P <0.05). Description of ovarian cancer tumor patients with preoperative ASA score high, low albumin levels, intraoperative blood loss and the implementation of enteral resection patients, postoperative ICU care should be more in the treatment