在支柱骨自由手术后早期减肥
Minjee Kim1, Michael P Wu1, Lauren E Miller1
1Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
JAMA otolaryngology-- head & neck surgery
|December 21, 2023
概括
在骨自由 (FFF) 手术后早期承重 (EWB) 显著改善了恢复. EWB与更短的住院时间,更少的并发症和更快的回家出院有关.
科学领域:
- 重建性手术是一种重建性手术.
- 整形外科手术 整形外科手术
- 头部和部手术 头部和部手术
背景情况:
- 骨自由 (FFF) 手术在头部和部重建中很常见.
- 目前在FFF手术后启动举重的做法缺乏标准化.
- 早期承重 (EWB) 对FFF患者康复的影响尚未得到充分研究.
研究的目的:
- 确定FFF手术后EWB与患者结局之间的关联.
- 调查EWB对捐赠地点并发症,住院时间和出院目的地的影响.
主要方法:
- 对152名接受FFF进行头部和部重建的患者进行了回顾性队列研究.
- 患者与EWB (术后第一天) 和非EWB (术后第二天或之后) 之间的结局的比较.
- 分析包括患者人口统计,并发症,手术细节,并发症,停留时间和使用后勤回归的出院状态.
主要成果:
- 术后第一天的EWB与更短的停留时间 (AOR 0.10) 相联系.
- EWB与更高的家庭出院率 (AOR 7.43) 和较少的捐赠部位并发症 (AOR 0.11) 有关.
- 减肥延迟 (≥3天) 与肺炎风险增加相关 (AOR 6.82).
结论:
- 在FFF手术后的EWB与手术后恢复的改善有关.
- 调查结果支持早期动员策略,以优化FFF程序后的结果.
- EWB可以导致更短的住院时间,减少并发症,增加家庭出院率.
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