灵活支气管镜在老年患者中的安全性和有效性:一项回顾性比较研究
Zentaro Saito1, Issei Oi1, Takanori Ito1
1Division of Respiratory Medicine, National Hospital Organization Kyoto Medical Center, 612-8555 1-1, Fukakusa-Mukaihata-Cho, Fushimi-Ku, Kyoto, Japan.
Open respiratory archives
|October 16, 2023
概括
灵活支气管镜 (FB) 对80岁及以上的患者是安全有效的. 与年轻人相比,这种诊断程序显示出类似的成功率和并发症率.
科学领域:
- 肺部病理学 肺部病理学
- 老年医学 老年医学
- 诊断程序 诊断程序 诊断程序
背景情况:
- 灵活支气管镜 (FB) 是用于胸部疾病的标准诊断工具.
- 关于FB在老年人群中的安全性和有效性的数据有限.
- 这项研究解决了对80岁及以上患者的证据需求.
研究的目的:
- 评估灵活支气管镜在老年患者 (≥80岁) 的安全性和有效性.
- 为了比较老年患者的FB结果与年轻的对照组 (18-79岁).
主要方法:
- 在2021年4月至2022年3月期间接受FB的患者的回顾性研究.
- 包括65名老年患者 (≥80岁) 和182名非老年对照.
- 指示,采样方法,诊断产量和并发症的比较.
主要成果:
- 灵活支气管镜检查在57.1%的老年患者和56%的非老年患者中实现了诊断.
- 两组之间诊断产量没有显著差异.
- 类似的并发症率,包括出血,缺氧,肺胸炎,发烧和肺炎,没有死亡报告.
结论:
- 灵活支气管镜是80岁及以上的老年患者的安全有效手术.
- 老年人群的结果与年轻成人患者的结果相似.
- FB可以自信地用于老年患者的诊断采样.
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