经过复杂分鼻整形手术的医疗复杂度更高的患者是否有增加手术部位感染的风险?
Scott Cannon1, Brian R Carr1, Timothy W Neal1
1Resident, Division of Oral and Maxillofacial Surgery, Department of Surgery, University of Texas Southwestern, Dallas, TX.
概括
对于复杂的鼻分管整形手术,美国麻醉学会 (ASA) 较高的3分并不增加手术部位感染 (SSI) 的风险. 对这些患者来说,预防性抗生素是不必要的.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
背景情况:
- 预防性抗生素通常用于分鼻整形术,但它们在复杂病例中的必要性仍在争论中.
- 复杂的鼻分管整形包括移植,修改,延长时间或美国麻醉学会 (ASA) 高分 (≥3) 的病例.
研究的目的:
- 为了研究麻醉复杂性增加之间的关系,以ASA得分表示,和复杂的分泌腺膜整形术后手术部位感染 (SSI) 的风险.
主要方法:
- 一项回顾性队列研究对182名在2005年至2022年期间接受复杂分鼻整形手术的患者进行.
- 患者根据ASA得分 (≤2对3) 分类,ASA 3作为独立变量.
- 手术部位感染 (SSI) 是主要的结局,由需要抗生素的细胞炎,或囊定义.
主要成果:
- 101名患者 (55%) 的ASA分数为3. 年龄,男性性别和糖尿病与较高的ASA分数有关.
- 总共发生了6次SSI (3.3%),其中只有2次在ASA 3组 (1%).
- 3的ASA得分与SSI风险增加没有显著关联 (P=.27).
结论:
- 3的ASA得分与复杂的分泌膜整形术中术后感染的风险较高无关.
- 常规预防性术后抗生素可能不适用于接受复杂分泌形成手术的患者.
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