摘要
目的 探讨fURL术后并发SIRS的复发风险因素，构建早期护理预警模型。方法 回顾性分析374例fURL患者的临床资料，2024年1月至2023年6月为验证组86例。筛选出与SIRS相关的危险因素，进行COX回归分析，确定独立危险因素及预后指数（PI）。根据PI值进行危险分层，并通过ROC分析验证模型准确性。结果 单因素分析显示年龄、性别、糖尿病等与SIRS相关（P<0.05）。COX多因素分析确定为独立危险因素，并得出PI方程。结论 年龄、性别、糖尿病等为fURL术后SIRS的独立危险因素。构建的PI预测模型经验证具有较高预测价值，可为泌尿护士提供早期预警、诊断和治疗指导。
关键词： fURL；SIRS；预警模型；早期护理
Abstract
Objective To explore the risk factors for recurrence of SIRS after fURL surgery and construct an early nursing warning model. Methods A retrospective analysis was conducted on the clinical data of 374 fURL patients, with 86 cases in the validation group from January 2024 to June 2023. Screen out risk factors related to SIRS, conduct COX regression analysis, determine independent risk factors and prognostic index (PI). Perform hazard stratification based on PI values and validate the accuracy of the model through ROC analysis. Results Univariate analysis showed that age, sex and diabetes were correlated with SIRS (P<0.05). Cox multivariate analysis identified independent risk factors and derived the PI equation. Conclusion Age, sex and diabetes are independent risk factors for SIRS after fURL. The constructed PI prediction model has been empirically proven to have high predictive value and can provide early warning, diagnosis, and treatment guidance for urological nurses.
Key words： fURL; SIRS; Warning model; Early care
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