美国鼻科学会专家实践陈述第2部分:术后预防措施和经过内镜骨底部手术后的管理原则
Jennifer E Douglas1, Nithin D Adappa1, Garret Choby2
1Department of Otorhinolaryngology-Head & Neck Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA.
这份专家实践声明提供了在内腔病理的内镜头骨头基底手术后手术后预防措施的指导. 它涉及鼻腔卫生,活动,CPAP使用和航空旅行,以改善患者护理.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 手术瘤学手术瘤学
背景情况:
- 内镜头骨底部手术越来越多地用于内腔病理.
- 手术后护理方案缺乏标准化,导致不同的临床实践.
研究的目的:
- 总结了内镜骨底部手术后必要的术后预防措施的证据和专家意见.
- 为接受这些手术的患者管理提供明确的临床指导.
主要方法:
- 美国鼻科学会 (American Rhinologic Society) 开发了一份专家实践声明.
- 利用修改后的Delphi方法,在关键的术后护理主题上达成共识.
- 对有关预防措施的现有文献进行系统审查.
主要成果:
- 关于术后鼻腔卫生,患者活动,CPAP恢复和巴罗创伤暴露 (例如,航空旅行) 的四个共识陈述.
- 有限的文献存在,突出了对当前建议的依赖专家意见.
结论:
- 专家实践声明提供了指导,在内镜骨底部手术后标准化术后护理.
- 需要进一步的研究,以加强针对特定预防措施的基于证据的建议.
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