Paula Stradiņa Klīniskās universitātes slimnīcas ķirurģijas klīnikā 2020.g. ārstēto pacientu ar trūcēm analīze un pielietotās ārstēšanas raksturojums
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Date
2022
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Pētnieciskā darba tēma: Paula Stradiņa Klīniskās universitātes slimnīcas ķirurģijas klīnikā 2020.g. ārstēto pacientu ar trūcēm analīze un pielietotās ārstēšanas raksturojums.
Darba mērķis: Apkopot un analizēt Paula Stradiņa Klīniskās universitātes slimnīcas ķirurģijas klīnikā 2020.g. ārstēto pacientu ar trūcēm ārstēšanas rezultātu uzskaites protokolu datus saskaņā ar pacientu datu aizsardzības likumu un raksturot pielietotās trūču ārstēšanas metodes.
Pētījuma materiāli un metodes : Pētījumā tiks izmantoti Paula Stradiņa Klīniskās universitātes slimnīcas ķirurģijas pacientu trūču ārstēšanas rezultātu uzskaites protokoli par 2020. gadu, kuri veidoti datu analīzes veidlapas veidā – vecums, dzimums, iestāšanās diagnoze ( primāra, recidivējoša, incīzijas trūce), klīniskā gaita, incīzijas trūces predispozējošie riska faktori, ķermeņa masas indekss, galīga klīniskā diagnoze, pielietotā ārstēšana, detalizēts operācijas apjoms ( operācijas veids, metode, protēzes veids), pielietotās ārstēšanas komplikācijas, vai bijusi atkārtota operācija stacionēšanas laikā, ārstēšanas ilgums ( dienās ) un ārstēšanas iznākums. Pētījumā iegūtie dati tiks ievadīti programmā MS Excel un turpmāk statistiski analizēti.
Rezultāti: Retrospektīvi pētot PSKUS ķirurģijas klīnikā 2020. ārstēto pacientu ar trūcēm ārstēšanas rezultātu uzskaites protokolus, kopā 287 pacienti tika stacionēti 289 reizes, 2020. gada laikā. Vidējais pacientu vecums 60 gadi, vīrieši tika stacionēti 63.6 % gadījumos, sievietes 36.3 procentu gadījumos. 75.1 % pacientu tika stacionēti plānveida kārtā, 24.9 % akūtā kārtā. Pēc palīdzības PSKUS ķirurģijas klīnikā vērsās pacienti ar primārām cirkšņa trūcēm 47.4 % , primārām ciskas trūcēm 1.7 % , primārām ventrālām trūcēm 29.1 %, hiatalām trūcēm 2.1 % , primāro trūču recidīviem 4.8 %, incīzijas trūcēm 18 %, . 100 % pacientu bija simptomātiska klīniskā gaita – sāpes 82.7 %, patoloģisks veidojums 78.5 %, zarnu darbības traucējumi 17.6 %, citi simptomi 4.5 %. No predisponējoešiem incīzijas trūces faktoriem 24 pacientiem bija palielināts ĶMI, 3 pacientiem smags HOPS, 18 pacientiem kardiāla nepietiekamība, 7 pacientiem vielmaiņas traucējumi, 7 pacientiem diskoagulācija, 12 pacientiem onkoloģiska operācija anamnēzē, 11 pacientiem iepriekšējas ārstēšanas epizodes ar peritonītu. Tika pielietota operatīvā ārstēšana 96.9 % gadījumos, medikamentoza 3.1 % gadījumā. Konvencionāla trūces plastika bez protēzes tika pielietota 40.1 % gadījumā, konvencionāla trūces plastika ar protēzi tika pielietota 46.7 % gadījumā, laproskopiska trūces plastika 9.6 % gadījumā. Pielietotās ārstēšanas komplikācijas attīstījās 2.1 % pacientu, no kurām 0.3 % brūces infekcija, 0.7 % hematomas , 1 % citas komplikācijas. Visiem pacientiem, stacionēšanas laikā nebija nepieciešama atkārtota operācija, vidēji ārstējās 2 dienas, pēc ārstēšanas visi pacienti izrakstīti, bez letāliem iznākumiem.
Title of the research work: Analysis and description of treatment applied to patients with hernias in surgery clinic of Pauls Stradins Clinical university hospital in year 2020. Aim: To summarise and analyse data from Paul Stradiņš clinical university hospital surgery clinic through year of 2020 of the treatment results from accounting protocol in patients with hernias with accordance with patients data protection law, and to describe the applied methods of treatment of hernia. Material and methods: In research were used Pauls Stradiņš clinical university hospital surgical patient hernia treatment result accounting protocols for the year 2020, which are presented in the form of data analysis – age, gender, diagnosis at admission (primary, recurrent, incision hernia), clinical course, predisposing risk factors for incision hernia, body mass index, final clinical diagnosis, used treatments, detailed capacity of surgery (type of surgery, methods, type of prosthesis), complications of used treatment or repeated surgery during the hospitalisation, treatment duration (in days), and outcomes of the used treatment. The data obtained in the study will be entered into MS Excel and further statistically analysed. Results: Retrospectively reviewing the protocols of the treatment results in patients with hernias, that were treated at the PSKUS Surgery Clinic in the year 2020, a total of 287 patients were hospitalized 289 times during the year 2020. The mean age of patients was 60 years, out of all hospitalised patients 63.6% were men and 36.3% were women. 75.1% of patients were admitted to hospital on a schedule basis and 24.9% on an acute basis. Patients with primary inguinal hernia 47.4%, primary femoral hernia 1.7%, primary ventral hernia 29.1 %, hiatal hernia 2.1%, recurrence of primary hernia 4.8%, incision hernia 18% sought help at the PSKUS surgery clinic. 100% of patients had a symptomatic clinical course - pain 82.7%, abnormal formation 78.5%, intestinal disorders 17.6%, other symptoms 4.5%. Out of the predisposing factors for incisional hernia, 24 patients had increased BMI, 3 patients had severe COPD, 18 patients had cardiac insufficiency, 7 patients had metabolic abnormalities, 7 patients had a history of oncology, 11 patients had a previous history of treatment of peritonitis. Surgical treatment was used in 96.9% of cases, and treatment with medication in 3.1%. Conventional hernia plastic without prosthesis was used in 40.1% of cases, conventional hernia plastic with prosthesis was used in 46.7%, laparoscopic hernia plastic was used in 9.6%. Complications of the applied treatment developed in 2.1% of patients, of which 0.3% had wound infection, 0.7% had hematoma, 1% had other complications. All patients did not require another operation during hospitalization, patients were treated for an average of 2 days, and after treatment all patients were discharged, without lethal outcomes.
Title of the research work: Analysis and description of treatment applied to patients with hernias in surgery clinic of Pauls Stradins Clinical university hospital in year 2020. Aim: To summarise and analyse data from Paul Stradiņš clinical university hospital surgery clinic through year of 2020 of the treatment results from accounting protocol in patients with hernias with accordance with patients data protection law, and to describe the applied methods of treatment of hernia. Material and methods: In research were used Pauls Stradiņš clinical university hospital surgical patient hernia treatment result accounting protocols for the year 2020, which are presented in the form of data analysis – age, gender, diagnosis at admission (primary, recurrent, incision hernia), clinical course, predisposing risk factors for incision hernia, body mass index, final clinical diagnosis, used treatments, detailed capacity of surgery (type of surgery, methods, type of prosthesis), complications of used treatment or repeated surgery during the hospitalisation, treatment duration (in days), and outcomes of the used treatment. The data obtained in the study will be entered into MS Excel and further statistically analysed. Results: Retrospectively reviewing the protocols of the treatment results in patients with hernias, that were treated at the PSKUS Surgery Clinic in the year 2020, a total of 287 patients were hospitalized 289 times during the year 2020. The mean age of patients was 60 years, out of all hospitalised patients 63.6% were men and 36.3% were women. 75.1% of patients were admitted to hospital on a schedule basis and 24.9% on an acute basis. Patients with primary inguinal hernia 47.4%, primary femoral hernia 1.7%, primary ventral hernia 29.1 %, hiatal hernia 2.1%, recurrence of primary hernia 4.8%, incision hernia 18% sought help at the PSKUS surgery clinic. 100% of patients had a symptomatic clinical course - pain 82.7%, abnormal formation 78.5%, intestinal disorders 17.6%, other symptoms 4.5%. Out of the predisposing factors for incisional hernia, 24 patients had increased BMI, 3 patients had severe COPD, 18 patients had cardiac insufficiency, 7 patients had metabolic abnormalities, 7 patients had a history of oncology, 11 patients had a previous history of treatment of peritonitis. Surgical treatment was used in 96.9% of cases, and treatment with medication in 3.1%. Conventional hernia plastic without prosthesis was used in 40.1% of cases, conventional hernia plastic with prosthesis was used in 46.7%, laparoscopic hernia plastic was used in 9.6%. Complications of the applied treatment developed in 2.1% of patients, of which 0.3% had wound infection, 0.7% had hematoma, 1% had other complications. All patients did not require another operation during hospitalization, patients were treated for an average of 2 days, and after treatment all patients were discharged, without lethal outcomes.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
PSKUS Ķirurģijas klīnikā 2020. gadā ārstētas trūces. Pielietotās trūču ārstēšanas metodes PSKUS 2020. gadā, PSCUH surgical patients with treated in surgery clinic throught year of 2020. Used hernia treatments methods in PSCUH through year 2020.