摘要
【目的】全面考虑手术后影响肺血栓栓塞症的危险因素,以评估病患术后危险等级,为后续制定个性化的医疗策略提供依据。【方法】构建层次化的危险评估指标体系;避免传统单一模型的片面性和局限性,基于运筹学理论,提出AHPTOPSIS综合模型;将模型运用至术后肺血栓栓塞症危险评估问题。【结果】构建的三层级危险评估指标体系涉及3个维度(个体相关因素、手术相关因素以及遗传相关因素)共18项具体评估指标;提出的AHP-TOPSIS综合模型不仅可以获得指标体系中各指标权重,亦可针对案例病患确定恰当的危险等级,进而提出针对性的医疗策略。【结论】提出的危险评估方法和综合模型可以有效辅助医疗人员完善术后肺血栓栓塞症相关的管理和治疗模式,具有一定学术和应用价值。
[Purposes]In order to consider the risk indexes affecting postoperative pulmonary thromboembolism from all angles,then it assess patients'postoperative risk level and develops the individualized treatment strategy.[Methods]The index system for risk assessment is built in hierarchy;to avoid the one-sidedness of traditional single models,the AHP-TOPSIS integrated model is pres-ented by basing on operations research theory;and the model is then applied to the problem of postoperative pulmonary thromboembolism.[Findings]The three-level index system involves eighteen risk indexes from three aspects(individual factor,surgery factor,inheritance factor);the AHP TOPSIS integrated model not only generates the weight of each index,but also identifies the appropriate risk level for the case patient,then the targeted medical strategies could be generated.[Conclusions],The integrated model and approach here could assist the medical staff to improve the management and treatment mode for postoperative pulmonary thrombo-embolism,with academic and application value.
作者
黄河
李群
唐国春
HUANG He;LI Qun;TANG Guochun(School of Management,University of Shanghai for Science and Technology,Shanghai 200093;Shanghai First Municipal Hospital,Shanghai 200080;College of Economics and Management,Shanghai Second Polytechnic University,Shanghai 201209,China)
出处
《重庆师范大学学报（自然科学版）》
CAS
北大核心
2019年第6期79-86,共8页
Journal of Chongqing Normal University:Natural Science
基金
国家自然科学基金重点国际(地区)合作研究项目(No.71520107003)
上海市科学技术委员会“科技创新行动计划”长三角科技联合攻关领域项目(No.17495810500)
上海市松江区科学技术公关项目(No.2017sjkjgg60)
上海理工大学博士启动基金(No.BSQD201901)。
