我们是否使用最佳实践来指导产后患有产科关节损伤的产后患者使用药 - - 一次回顾性审查
Jee Eun Do1, Julie Tucker2, Anupam Parange3
1Division of Surgical Specialties and Anaesthetics, Northern Adelaide Local Health Network, Lyell McEwin Hospital, Haydown Road, Elizabeth Vale, SA 5112, Australia.
概括
产科关节损伤 (OASI) 修复后的松剂的使用有很大差异. 与建议相反,填充剂是常见的,但与门失禁 (AI) 的增加无关.
科学领域:
- 产科和妇科 产科和妇科
- 胃肠病学 胃肠病学
- 盆地健康 盆地健康
背景情况:
- 产科关节损伤 (OASI) 是年轻女性门失禁 (AI) 的主要原因.
- 目前的指导方针缺乏关于OASI恢复最佳药使用的具体性.
- 经OASI修复后的管理需要标准化的药治疗方案.
研究的目的:
- 评估OASI修复后的当前药处方实践.
- 调查药类型,剂量,频率和人工智能之间的关联.
- 为了确定OASI患者手术后护理的变化.
主要方法:
- 在2016年1月至2020年6月期间,对356名患有OASI的女性进行了回顾性队列研究.
- 提取有关处方药的数据 (类型,剂量,频率).
- 通过临床检查和内超声波评估OASI的严重程度;AI使用St. Marks incontinence分数测量AI.
主要成果:
- 处方的药包括填充剂 (68.8%),软化剂和氧化剂.
- 填充剂的使用与现有的随机对照试验建议相矛盾.
- 在药治疗方案和AI率之间没有发现统计学上显著的关联.
结论:
- 在OASI修复后的药处方中存在显著的变化.
- 填充剂与门失禁率的增加没有关联.
- 需要进一步的研究来优化产后护理和OASI后的药管理.
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