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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
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桃体切除术与成人心血管疾病之间的关联
Sung Joon Park1, Sei Young Lee2, Hahn Jin Jung3
1Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University College of Medicine, Gwangmyeong 14353, Republic of Korea.
Journal of personalized medicine
|January 26, 2024
概括
韩国成年人的桃体切除术与中风和缺血性心脏病 (IHD) 的更高风险有关. 没有发现与心力衰竭 (HF) 有意义的关联.
科学领域:
- 心血管流行病学心血管流行病学
- 手术成果研究的研究结果.
- 公共卫生 公共卫生
背景情况:
- 桃体切除术是一种常见的外科手术.
- 桃体切除术对心血管的长期影响需要进一步研究.
研究的目的:
- 研究桃体切除术与韩国成年人群中心血管疾病 (CVD) 的发生率之间的联系.
- 为了评估中风,缺血性心脏病 (IHD) 和桃体切除术后心力衰竭 (HF) 的风险.
主要方法:
- 一项回顾性队列研究,使用来自韩国国家医疗保险服务-健康查队列 (2002-2015) 的数据.
- 经过桃体切除术的1082名成年参与者 (≥40岁) 与4328名对照进行了匹配.
- 用分层的Cox比例危险模型来计算心血管疾病的危险比率 (HR).
主要成果:
- 在桃体切除组中,中风的发病率明显高于桃体切除组 (81.3人/年 vs 46.6人/年).
- 在桃体切除组中,IHD的发病率也显著高于桃体切除组 (112.3人/年,相对于每1万人/年的64.9).
- 调整后的HR显示,在桃体切除组中,中风风险增加了1.78倍,内脏病风险增加了1.60倍. 没有观察到HF发病率的显著差异.
结论:
- 桃体切除术的病史与韩国成年人群中中风和IHD风险增加有关.
- 这些发现表明,桃体切除术与不良心血管结果之间存在潜在联系.
- 需要进一步的研究来阐明潜在的机制和临床影响.
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