在罗宾序列中口关闭后的呼吸结果:一项回顾性研究
Nathaniel A T Sullivan1,2, Nadia Lachkar3,4, J Peter W Don Griot3,4
1Amsterdam UMC, Department of Plastic Surgery, Location University of Amsterdam, Emma Children's Hospital, Meibergdreef 9, Amsterdam, The Netherlands. nathanielatsullivan@gmail.com.
Clinical oral investigations
|April 11, 2024
概括
罗宾序列 (RS) 患者在 palatal 关闭后面临较高的呼吸道并发症风险,与隔离裂 palatal (ICP) 相比. 手术前体重较低和舌唇粘附 (TLA) 的病史是需要密切监测的关键危险因素.
科学领域:
- 面外科手术 面外科手术
- 儿科呼吸系统医学 儿科呼吸系统医学
- 有先天性异常.
背景情况:
- 罗宾序列 (RS) 和隔离裂 palates (ICP) 是影响口腔和面部结构的常见先天性疾病.
- 宫关闭后阻塞性气道并发症是一个重大问题,特别是在RS患者中.
- 关于RS中这些并发症的特定风险因素的数据有限.
研究的目的:
- 为了比较RS患者与ICP患者口腔关闭后呼吸道并发症的发生率.
- 确定与RS患者的呼吸道并发症和儿科重症监护室 (PICU) 住院相关的术前风险因素.
主要方法:
- 在25年内连续治疗RS和ICP的243名患者的回顾性评估.
- 收集手术前的数据,包括体重,妊娠年龄,先前的治疗,以及先天性异常的存在.
- 在RS和ICP组之间比较呼吸道并发症率,PICU入院率和住院时间.
主要成果:
- 与ICP相比,RS患者年龄较大,在口腔关闭时妊娠年龄较低.
- 在RS患者中,呼吸道并发症的发生率显著提高 (17%与5%相比),PICU入院 (13%与4.1%相比),住院时间更长.
- 舌唇粘附 (TLA) 的病史和手术前体重低于8公斤被确定为呼吸问题和PICU入院的显著风险因素.
结论:
- 手术前体重低和TLA病史是RS患者经过 palatal closure 的不良呼吸结果的关键风险因素.
- 建议加强术后监测RS患者与这些已识别的风险因素.
- 识别这些风险因素有助于临床医生为RS患者提供量身定制和最佳的护理.
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