中华护理杂志 ›› 2023, Vol. 58 ›› Issue (20): 2481-2487.DOI: 10.3761/j.issn.0254-1769.2023.20.007
收稿日期:
2022-10-31
出版日期:
2023-10-20
发布日期:
2023-10-19
通讯作者:
郝艳丽,E-mail:51120866@qq.com作者简介:
刘婷:女,本科,副主任护师,科护士长,E-mail:tingting9718@126.com
基金资助:
LIU Ting(), WANG Lin, HAO Yanli(), CAO Peng, WANG Ran
Received:
2022-10-31
Online:
2023-10-20
Published:
2023-10-19
摘要:
目的 探讨非体外循环下不停跳冠状动脉旁路移植术患者术中低体温的危险因素,构建列线图预测模型。方法 采用便利抽样法,选取2019年1月—2021年6月在北京市某三级甲等医院住院的202例不停跳冠状动脉旁路移植术患者,依据术中是否发生低体温分为低体温组(n=103)和非低体温组(n=99),通过电子病历系统收集相关术前资料,采用Logistic回归分析危险因素,利用R软件绘制不停跳冠状动脉旁路移植术患者术中低体温列线图预测模型,Hosmer-Lemeshow检验判断模型的拟合优度,受试者操作特征曲线下面积检测模型的预测效果。结果 不停跳冠状动脉旁路移植术患者术中低体温发生率为50.99%,术中低体温列线图预测模型中纳入5个危险因素,分别为年龄、体表面积、术前射血分数、手术室室温和消毒开始时体温。该模型的Hosmer-Lemeshow检验结果显示,受试者操作特征曲线下面积为0.840(95%CI为0.787~0.894),最佳临界值为0.344,灵敏度为0.903,特异度为0.616,模型外部验证准确率为78.22%,提示模型具有较好的拟合效果和较高的预测价值。结论 不停跳冠状动脉旁路移植术患者术中低体温发生率较高,该研究构建的列线图模型能早期、高效预测患者术中低体温发生的风险,为术中低体温的早期评估及有效预防提供科学依据。
刘婷, 王林, 郝艳丽, 曹朋, 王冉. 不停跳冠状动脉旁路移植患者术中低体温风险预测模型的构建[J]. 中华护理杂志, 2023, 58(20): 2481-2487.
LIU Ting, WANG Lin, HAO Yanli, CAO Peng, WANG Ran. Construction of a preoperative risk prediction nomogram model for hypothermia during off-pump coronary artery bypass graftin[J]. Chinese Journal of Nursing, 2023, 58(20): 2481-2487.
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