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在接受部剖析的患者中,术后喉胀的患病率和危险因素
Joo Hyun Park1, Goeun Park2, Kyu Hyeon Hwang1
1Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Samsung Medical Center, Sungkyunkwan University, Seoul, Republic of Korea.
手术后喉水 (PLE) 影响近30%的患者在部剖析后,导致疼痛和难以吞等症状. 确定早期干预的高风险个体是改善患者治疗结果的关键.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 麻醉学 麻醉学
背景情况:
- 手术后喉胀 (PLE) 是头部和部手术后的常见并发症.
- 症状包括鼻,消,以及潜在的呼吸道损害.
- 有限的数据存在于PLE患病率和部剖析 (ND) 患者的危险因素.
研究的目的:
- 为了调查在接受部剖析的患者中PLE的患病率.
- 确定与ND后PLE发展相关的重大风险因素.
- 为高危患者提供早期诊断和干预策略的信息.
主要方法:
- 对343名接受部剖析的患者进行了回顾性分析.
- 试点研究以估计PLE的初步流行率.
- 多变量后勤回归用于识别PLE的风险因素.
主要成果:
- 在ND患者中,PLE发生在29.4%的患者中,最常见的症状是鼻病.
- 较高的身体质量指数 (BMI) 和美国麻醉学会 (ASA) 分类与PLE相关.
- 耳鼻喉/口腔上角瘤和淋巴结水平2的手术是显著的危险因素 (OR > 3).
结论:
- 大约30%的部剖析患者患有PLE,导致显著的不适.
- 在高危人群中早期发现和管理PLE可以提高患者的护理.
- 风险因素包括瘤的位置和特定的淋巴结解剖水平.
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