在美容手术中对吸烟的程序和并发症特定评估:系统性审查和元分析
Gabriel Bouhadana1, Hassan ElHawary2, Peter Alam2
1Faculty of Medicine McGill University, Montreal, Quebec, Canada.
Plastic surgery (Oakville, Ont.)
|March 4, 2024
概括
吸烟显著增加了大多数整形手术的并发症,包括腹腔整形和缩小乳房. 患者应接受戒烟教育,以改善美容手术的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 基于证据的医学基于证据的医学.
- 公共卫生 公共卫生
背景情况:
- 审美手术越来越受欢迎,患者对最佳结果的期望越来越高.
- 识别和管理风险因素,如吸烟,对于实现预期的外科结果至关重要.
- 需要更新关于吸烟对化品程序影响的证据.
研究的目的:
- 对吸烟对美容整形手术结果的影响进行系统审查和元分析.
- 确定特定的美容手术,其中吸烟构成并发症的重大风险因素.
主要方法:
- 对比吸烟者与非吸烟者之间美容手术结果的研究进行系统审查.
- 在PubMed,Embase和Cochrane数据库中进行的搜索.
- 使用随机效应模型和Mantle-Haenszel方法进行的元分析.
主要成果:
- 包括82项研究,最常见的手术是腹腔整形/腹腔切除术和缩小乳房.
- 在大多数研究的审美手术中,吸烟与统计学上显著增加的整体并发症风险有关.
- 对于乳头整形和鼻整形,没有发现明显增加的并发症风险,尽管注意到了潜在的偏差.
结论:
- 吸烟是评估的大多数美容整形手术的重要风险因素.
- 戒烟和患者教育对于改善常见整形外科手术的结果至关重要.
- 需要进一步的证据来重新评估吸烟对乳头整形和鼻整形结果的影响.
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