胃切除术后患者护理情况的审计。
An audit of the care of post-gastrectomy patients.
作者信息
Barley S L, Mathers N
出版信息
J R Coll Gen Pract. 1980 Jun;30(215):365-70.
The records of 26 patients in one practice who had had a partial gastrectomy were studied to see if a stated policy of follow-up had been successful. The policy aimed to detect by annual blood tests (birthday follow-up) the consequences of malabsorption of iron, folate, vitamin B12, and calcium. Of 198 possible tests (nine for each patient when seen for the first screening), only 87 (44 per cent) were done; 16 (18.2 per cent) were abnormal. At the 39 opportunities for annual follow-up, 71 per cent of the possible tests were done; 11 of the 62 tests (17.5 per cent) were abnormal. The most common abnormality was deficiency of iron (12 tests), followed by folate (four tests), serum B12 (two tests), and serum calcium (two tests). Appropriate action according to the review criteria was taken for 24 out of the 27 abnormalities found. The result of the review was to suggest a modified annual follow-up, with fewer than nine tests per year.
对一家诊所中26名接受过部分胃切除术的患者的记录进行了研究，以查看既定的随访政策是否成功。该政策旨在通过年度血液检查（生日随访）检测铁、叶酸、维生素B12和钙吸收不良的后果。在198项可能的检查中（首次筛查时每位患者9项），仅进行了87项（44%）；其中16项（18.2%）异常。在39次年度随访机会中，71%的可能检查得以进行；62项检查中有11项（17.5%）异常。最常见的异常是缺铁（12项检查），其次是叶酸缺乏（4项检查）、血清维生素B12缺乏（2项检查）和血清钙缺乏（2项检查）。在发现的27项异常中，有24项根据审查标准采取了适当措施。审查结果建议对年度随访进行调整，每年的检查少于9项。
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