在甲状腺和副甲状腺手术后,老年人患有缺食症的患病率和危险因素
Philip K Crepeau1, Whitney Sutton1, Zeyad Sahli2
1Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Surgery
|November 9, 2023
概括
老年人经常在甲状腺或副甲状腺手术前和后出现吞问题. 预先存在的消化不良症显著增加了手术后吞困难恶化的风险.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 老年医学 老年医学
- 手术瘤学手术瘤学
背景情况:
- 消化不良 (吞障碍) 是老年人接受头部和部手术的一个问题.
- 甲状腺切除术和副甲状腺切除术是这一群体中常见的手术.
研究的目的:
- 在甲状腺或副甲状腺手术前和后,调查65岁以上成年人中缺食症的患病率和危险因素.
- 为了确定术后持续或恶化的吞功能障碍的预测因素.
主要方法:
- 在接受初始甲状腺切除术或副甲状腺切除术的老年人中进行了前性纵向队列研究.
- 失调障碍指数 (DHI) 在手术前和手术后的1,3个月和6个月进行了管理.
- 统计分析包括对对的t测试用于得分比较和多变量逻辑回归用于风险因素识别.
主要成果:
- 77.7%的患者报告了手术前的消化不良,特别是在脆弱的个体中更高.
- 超过40%的患者在手术后3个月和6个月经历了更糟糕的消化障碍得分.
- 手术前吞功能障碍与3个月后功能评分恶化的风险增加3.07倍有关.
结论:
- 在甲状腺/副甲状腺手术前和后,老年人中吞障碍很常见.
- 手术前的吞障碍是术后吞结果较差的重要预测因素.
- 在这个人群中,手术后的缺食症可以持续长达6个月.
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