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目的通过对急性胰腺炎非手术患者合并症的分层研究,寻找可用于医院间医疗能力分级,非手术医院内部医疗技术评价的思路。方法运用多元线性回归,决策树分析,t检验和方差分析等方法对2000年-2015年1091例急性胰腺病倒进行分析。结果急性胰腺炎的重要并发症及其系数依次为胰腺假囊肿0.262、肺炎0.145、腹腔感染0.153、成人呼吸窘迫综合征0.148、呼吸衰竭0.144、急性肾功能衰竭0.143、高脂血症0.072、胸腔积液0.059以及其他并发症0.131。急性胰腺炎可按合并症分值分为4级。结论疾病合并症的分层研究是一种可比性的研究方法,其对激励医院医疗技术发展,改善医院内部评价水平具有重要意义,是医疗服务能力等级评价的重要思路。
Objective To study the stratification of non-operative patients with acute pancreatitis by stratification, and to find out the ideas that can be used in the classification of medical capabilities among hospitals and the evaluation of medical technologies in non-surgical hospitals. Methods Multiple linear regression, decision tree analysis, t-test and analysis of variance (ANOVA) were used to analyze the 1091 cases of acute pancreaticosis from 2000 to 2015. Results The major complication and its coefficient of acute pancreatitis were pancreatic pseudocyst 0.262, pneumonia 0.145, intraperitoneal infection 0.153, adult respiratory distress syndrome 0.148, respiratory failure 0.144, acute renal failure 0.143, hyperlipidemia 0.072, Fluid 0.059 and other complications 0.131. Acute pancreatitis can be divided into four levels of comorbidity. Conclusion The stratified study of disease comorbidities is a comparable research method, which is of great significance to inspire the development of hospital medical technology and improve the internal evaluation of hospitals, and is an important idea for evaluating the level of medical service competence.