口服皮质类固醇在耳鼻喉科使用的并发症
Margaret B Mitchell1,2, Alan D Workman1,2, Neil Bhattacharyya1,2
1Harvard Medical School, Boston, MA, USA.
The Annals of otology, rhinology, and laryngology
|September 25, 2024
概括
口服皮质类固醇 (OCS) 的不良事件 (AEs) 在296次耳鼻喉治疗中发生约1次. 老年患者面临更高的风险,需要仔细考虑OCS的好处与危害.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 药物监督 药物监督 药物监督
- 临床医学 临床医学
背景情况:
- 口服皮质类固醇 (OCS) 在耳鼻喉科广泛使用.
- 在这个专业中,关于OCS相关不良事件 (AE) 的定量数据有限.
研究的目的:
- 在耳鼻喉科实践中量化与OCS相关的AE的发生率和类型.
- 为了确定患有OCSAE风险增加的患者群体.
主要方法:
- 对20746次耳鼻喉科遇到涉及OCS处方 (2018-2023) 的回顾性分析.
- 在OCS处方后21天内确定并分类AE.
- 副作用分为胃肠道,代谢,骨/肌肉,眼科和精神病并发症.
主要成果:
- 观察到的AE总发病率为每1000个OCS处方中4.0个.
- 伤害所需的数量计算为296.4个OCS课程.
- 代谢并发症 (56.6%),特别是高血糖和低血糖,是最常见的. 较老的患者 (平均年龄为61.5岁) 的AE率明显更高.
结论:
- 在耳鼻喉科中,OCS AEs很少发生,但值得注意的是,每296个疗程中约有1个.
- 老年人代表了与OCS相关的AEs风险较高的群体.
- 耳鼻喉科医生必须权衡OCS的治疗益处与潜在的不良事件,特别是在老年患者.
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