作者单位：529500阳江市广东省阳江市人民医院

曾纪莲：女,本科,主管护师

※外科护理

POSSUM评分在预测泌尿外科患者术后并发症的临床价值

曾纪莲

摘要目的:探讨POSSUM评分在预测泌尿外科患者术后并发症的临床价值。方法:将2013年6月~2014年6月在我院泌尿外科住院行手术治疗的病例674例，随机等分为观察组和对照组，对照组患者入院后给予泌尿外科护理常规。观察组在对照组基础上应用POSSUM评分预测术后并发症的发生风险，对可能发生并发症的患者给予针对性干预。结果:观察组患者并发症发生例数少于对照组，差异具有统计学意义(P<0.05)。结论:应用POSSUM 评分预测泌尿外科术后并发症的发生风险，为早期护理干预提供依据，减少并发症，提高医疗护理质量，具有临床实用价值。

关键词POSSUM评分；泌尿外科；并发症；护理doi:10.3969/j.issn.1672-9676.2015.08.018

The clinic value of predicting the postoperative complications in urologic patients with POSSUM score

ZENG Ji-lian(Yangjiang People′s Hospital of Guangdong Province,Yangjiang529500)

AbstractObjective:To investigate the clinical value of physiological and operative severity score for the enumeration of mortality and morbidity(POSSUM score)to predict postoperative complications in urology patients.Methods:A total of 674 urological patients from June 2013 to June 2014.And they were randomly divided into the observation group and the control group.There were 337 patients in the two groups respectively.Two groups of patients were given urology care routine after hospitalization.To predict the risk of postoperative complications with POSSUM score in the observation group patients.The patients with high risk of complications were given active nursing intervention.To compare complications between the observation group and the control group.Results:The occur of complications in the observation group was less than the observation group,there was significant statistically significant between the two groups(P<0.05).Conclusion:The POSSUM score has a good clinical value on postoperative complications in urological patients,can provide the basis for early nursing intervention,reduce complications and improve the quality of medical care.

Key wordsPhysiological and operative severity score for the enumeration of mortality and morbidity；Urology；Complication；Nursing

POSSUM 评分系统，即生理学和手术侵袭度评分，是一种评估外科手术患者并发症发生的方法，现已广泛应用于外科手术术后并发症风险的评估，以指导临床治疗和护理工作[1-3]。手术治疗可有效减轻泌尿外科患者的痛苦，但老年患者越来越多，常合并有肺、心、脑、肝、肾等多器官多脏器疾病，重要脏器功能减退，机体代偿能力明显下降，手术耐受能力差，因而准确评估泌尿外科患者术后并发症的发生情况，早期进行护理干预，减少术后并发症、改善患者的预后是护理工作的重点[4-5]。我院应用POSSUM 评分预测接受泌尿外科手术患者并发症的发生风险，对可能发生并发症的患者进行有针对性的护理干预，取得满意的效果，现报道如下。

1资料与方法

1.1临床资料选取2013年6月～2014年6月期间在我院泌尿外科住院行手术治疗的患者674例为研究对象。……