双J支架的并发症可以减少儿科患者吗?
M Bayarri Moreno1, I Planas Díaz1, I Casal Beloy1
1Pediatric Surgery Department. Hospital Universitario Virgen del Rocío. Sevilla (Spain).
概括
在儿科泌尿病学中,双J (DJ) 支架并发症与支架持续时间,双边性和多重支架有关. 改善医疗记录保存可以减少DJ支架问题,常规抗生素预防可能没有好处.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 医疗器械并发症 医疗器械并发症
背景情况:
- 双J (DJ) 支架通常用于儿科泌尿病学,但与潜在的发病率有关.
- 了解DJ支架并发症的风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 在儿科患者中确定与双J (DJ) 支架并发症相关的风险因素.
- 评估对家庭提供关于DJ支架安置和护理的信息质量.
主要方法:
- 一项回顾性研究分析了180名儿科患者 (236个DJ支架) 从2017年到2022年.
- 患者被分为复杂和非复杂的组,以确定与并发症相关的风险因素.
- 一项家庭满意度调查评估了关于DJ支架提供的信息的感知质量.
主要成果:
- 整体并发症率为21.9%.
- 并发症的危险因素包括拥有多个支架 (OR=6.628) 和双边安置 (OR=4.871).
- 医疗记录登记不足与并发症增加有关,而抗生素预防没有显著的益处.
结论:
- DJ支架发病率与支架持续时间,双边性和使用的支架数量有关.
- 准确的医疗记录与更短的DJ支架持续时间和更少的并发症有关.
- 对DJ支架的常规抗生素预防的使用需要重新考虑,因为缺乏证明的益处.
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