在患有远距离半径骨折的患者中使用大麻:团结的时刻?
Michael G Livesey1, Sandeep S Bains2, Jonathan M Stern2
1Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, USA.
Hand (New York, N.Y.)
|October 3, 2023
概括
大麻使用增加了远距离半径骨折手术后感染和失联的风险. 结合大麻和烟草的使用会增加非工会和不良工会的风险,影响患者的康复.
科学领域:
- 整形外科手术 整形外科手术
- 临床研究 临床研究
- 公共卫生 公共卫生
背景情况:
- 增加大麻使用需要了解其临床影响.
- 距离半径骨折手术后的术后并发症是令人担忧的.
研究的目的:
- 调查大麻和烟草使用对开放缩小和内部固定 (ORIF) 远半径骨折后并发症的影响.
主要方法:
- 一个大型的国家数据库 (2015-2020年) 分析了970,747名接受ORIF治疗的患者.
- 患者被分为四组:烟草使用,大麻使用,联合使用和对照.
- 多变量后勤回归确定了感染,非工会和不良工会的风险因素.
主要成果:
- 同时使用大麻和烟草的非联合率 (5.0%) 与单一物质使用相比较高.
- 单独使用大麻,单独使用烟草和联合使用都是术后感染的风险因素.
- 所有使用组都显示出恶性结合的几率增加,组合使用具有最高的几率比率 (2.52).
结论:
- 大麻使用与远距离半径骨折手术后感染和失联风险更高有关.
- 同时使用大麻和烟草,与单独使用烟草相比,大大增加了非结合和不结合的风险.
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