阻塞性睡眠呼吸暂停与死修复失败率增加有关
Aravindh Nirmalan1, Meagan T Tran2, Prashant Tailor1
1Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota.
Ophthalmic plastic and reconstructive surgery
|November 23, 2023
概括
阻塞性睡眠呼吸暂停 (OSA) 显著增加了经过死修复后修复手术的风险. 患有OSA的患者在眼问题上需要重复手术的可能性是1.7倍.
科学领域:
- 眼科医生 眼科 眼科
- 睡眠医学 睡眠医学
- 外科手术的结果
背景情况:
- 死修复的目的是纠正眼垂落.
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的疾病,影响睡眠期间的呼吸.
- OSA对ptosis修复结果的影响尚未得到充分证实.
研究的目的:
- 调查阻塞性睡眠呼吸暂停 (OSA) 对亡修复结果的影响.
- 为了确定患有OSA的患者在死修复后是否有更高的重复手术率.
主要方法:
- 对18岁以上的患者进行瘤修复的回顾性队列研究 (2018-2021年).
- 手术失败定义为不对称或不满意的眼高度,需要在1年内进行修改.
- 与患有和没有OSA的患者之间的结局的比较.
主要成果:
- 包括577名患者;20.5%的OSA患者经历了手术失败,而没有OSA患者则为13.1% (p=0.02).
- 在OSA患者中,修复手术的风险高出1.70倍 (95% CI:1.06-2.07).
- 在调整年龄和性别后,物流回归证实OSA与ptosis修订有显著的关联 (p=0.007).
结论:
- 阻塞性睡眠呼吸暂停 (OSA) 与经过白血病修复后手术失败和修复手术的风险增加有关.
- 虽然OSA是一个危险因素,但它不是唯一决定修复手术必要性的决定因素.
- 在这个队列中,修复手术对所有患者都带来了令人满意的结果.
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