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目的探讨个性化检验危急值在医院的应用价值。方法分析影响危急值的各因素,针对每个科室建立与之完全匹配的个性化检验危急值并评估其应用效果。结果病种、患者年龄、治疗方式及检测项目等因素对检验危急值的构成有显著影响(P<0.05);患者性别对危急值的影响无统计学意义(P>0.05)。建立并实施个性化检验危急值后,新生儿科、肿瘤科、重监ICU病房对危急患者的开始干预时间显著缩短(P<0.05),及时干预率和干预成功率明显提高,医疗不良结果显著降低差异均有统计学意义(P<0.05)。结论个性化检验危急值的实施,使临床对危急患者的处置更加精准和高效,是危急值制度发展和完善的必然趋势。
Objective To explore the value of personalized examination of critical value in the hospital. Methods The factors that affect the critical value were analyzed. A personalized test critical value was established for each department and its application effect was evaluated. Results The types of patients, age of patients, treatment methods and test items had significant effects on the constitution of critical value (P <0.05). There was no significant difference in gender between the two groups (P> 0.05). After the establishment and implementation of the personalized examination of critical value, the intervention time for neonatal, oncology and intensive care unit ICU wards significantly shortened (P <0.05), timely intervention rate and intervention success rate significantly improved, and the medical adverse outcomes were significantly reduced The differences were statistically significant (P <0.05). Conclusions The implementation of the critical value of personalized examination makes the clinical treatment of critically ill patients more accurate and efficient, which is an inevitable trend of the development and improvement of the critical value system.