在COVID-19期间,围腹的治疗管理
Natascha Cidlinsky1, Tim Tobias Arndt2,3, Stefan Schiele2
1Department of Otorhinolaryngology, University Hospital Augsburg, Augsburg, Germany. nataschacidlinsky@web.de.
概括
德国的COVID-19大流行导致腹腹 (PTA) 治疗的减少,特别是切口排水. 然而,瘤桃体切除率增加,复发率相似,住院时间缩短.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 公共卫生政策 公共卫生政策
背景情况:
- COVID-19 流行病和相关的封锁政策对全球的医疗保健系统产生了重大影响.
- 了解对常见的耳鼻喉紧急情况的影响,如腹腹 (PTA),对于调整治疗策略至关重要.
研究的目的:
- 调查COVID-19大流行和德国封锁措施对腹腹的频率和治疗方式的影响.
- 分析德国一家高等推中心治疗方法的变化.
主要方法:
- 一项回顾性病例控制研究分析了在2018年3月至2022年8月期间在奥格斯堡耳鼻科大学医院治疗的975例腹膜.
- 对囊切除术和切口排水的数据与Covid-19强度指数相关,使用德国的第一个封锁作为切断点.
主要成果:
- 在封锁后观察到PTA切口排水的显著减少 (OR = 0.54,p = 0.04).
- 尽管医疗保健能力有所减少,但经过结切除术治疗的患者比例增加.
- 在政策措施的严格性和治疗方法之间没有发现显著的关联 (OR = 1.00,p = 0.52).
结论:
- 随着COVID-19的流行,德国的腹腹治疗模式发生了变化,偏好了腹切除术而不是切口排水.
- 这种转变发生在PTA在ENT紧急情况中的总体发病率没有变化的情况下.
- 住院时间缩短,复发率维持,这表明这种治疗转移的潜在好处.
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