在全甲状腺切除术后出现术后低血症的危险因素:一项回顾性研究
Bayan S Jan1, Ahlam H Alamri2, Haddad H Alkaff3
1From the Department of Otorhinolaryngology Head & Neck Surgery, Al Noor Hospital, Makkah, Saudi Arabia.
Annals of Saudi medicine
|February 5, 2024
概括
甲状腺手术后的术后低血是常见的. 关键的危险因素包括副甲状腺激素水平低,非故意的副甲状腺切除和部剖析,有助于识别高风险患者.
科学领域:
- 内分泌学和外科手术
- 临床研究 临床研究
背景情况:
- 低血是甲状腺手术后经常出现的并发症.
- 识别风险因素对于管理这种并发症至关重要.
研究的目的:
- 分析甲状腺手术后与术后低血症相关的各种风险因素.
- 为了区分患有低血症的患者和在手术后保持正常水平的患者.
主要方法:
- 这是一项涉及沙特阿拉伯多个中心215名患者的回顾性研究.
- 分析的风险因素包括患者,术后,疾病相关和手术因素.
- 使用多变量逻辑回归来比较低血和正常血组,将低血症定义为总<8.0 mg/dL.
主要成果:
- 低血症的发生率为52.1% (112/215名患者).
- 统计学上显著的独立风险因素包括术后副甲状腺激素水平<10 pg/dL,意外的副甲状腺切除和部剖析手术.
结论:
- 手术后的低血是多因素的.
- 识别可修改的风险因素可以在高风险群体中制定早期预防策略.
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