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手术后桃切除术 (POPT) 研究:一个多中心前性儿科队列研究.
Elliot Heward1, John Rocke1, George McNally1
1Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK.
概括
在小儿桃体切除术后,术后出血和疼痛很常见,出血影响44%的儿童. 囊内结合性桃体切除术显著减少出血和疼痛,改善恢复.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 临床结果研究研究
背景情况:
- 桃体切除术是英国常见的一种耳鼻喉手术.
- 了解术后恢复,特别是出血和疼痛,仍然是有限的.
- 患者日记为评估术后经历提供了有价值的工具.
研究的目的:
- 为了调查儿科桃体切除术后手术后出血的频率和严重程度.
- 分析桃体切除术后儿童手术后疼痛的强度和模式.
- 确定影响术后出血和疼痛的因素,包括手术技术.
主要方法:
- 在英格兰北部的12个耳鼻喉科单位进行前性观察队列研究.
- 招募4至16岁的儿童进行桃体切除术 (带或不带桃体切除术),以治疗良性疾病.
- 利用患者日记记录出血的频率/严重程度和疼痛的强度/模式,通过多层次订序逻辑回归分析.
主要成果:
- 在297名被招募的儿童中,有91人有可用的日记;44%的人经历了手术后出血,最常见的是唾液中的血液.
- 年龄的增加与更高的出血几率 (每年17%) 相关联.
- 囊内结合性桃体切除术和更高的外科医生级别与减少出血有关;较低的年龄和囊内结合性桃体切除术减少了疼痛.
结论:
- 观察到明显发生的低水平的手术后出血,疼痛持续约5天.
- 囊内结合性桃切除术在尽量减少术后出血和疼痛方面表现出优于其他技术的优势.
- 调查结果强调了关于预期的术后康复的患者知情同意的必要性,特别强调了囊内结合性桃体切除术的好处.
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