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Oral Health Assessment by Lay Personnel for Older Adults
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老年患者受影响的第三手术 - 患者的年龄真的是并发症的风险因素吗?
Florian Dudde1, Manfred Giese1, Oliver Schuck1
1Department of Oral and Maxillofacial Surgery, Army Hospital Hamburg, Lesserstraße 180, 22049, Hamburg, Germany.
Clinical oral investigations
|October 7, 2024
概括
患者年龄在受影响的第三手术后不会显著影响术后并发症. 这项研究没有发现年龄与神经损伤或感染等风险之间的相关性,这挑战了以前的研究.
科学领域:
- 口腔和牙面部外科手术
- 牙科研究 牙科研究
- 手术并发症 手术并发症
背景情况:
- 患者的年龄通常被认为是手术并发症的危险因素.
- 受影响的第三手术很常见,可能会出现各种外科手术期间的问题.
研究的目的:
- 为了研究患者年龄对受影响的第三手术中术后并发症的影响.
- 为了确定已确定的损伤风险因素是否因患者年龄而改变.
主要方法:
- 分析了200名患者 (554名受影响的第三牙) 的临床数据,数字全景放射和术后结果.
- 评估的并发症包括下膜神经 (IAN) 过敏症,口腔沟通 (OAC),语言神经 (LN) 过敏症,出血和感染.
- 患者按年龄分层 (截止30岁),以比较冲击模式和风险因素.
主要成果:
- 虽然影响模式和风险因素 (角化,骨覆盖,深度得分) 在年轻 (<30岁) 和老 (≥30岁) 患者之间有所不同,但特定的并发症 (IAN/LN低,出血,感染) 没有显著的年龄相关差异.
- 年轻患者的上三牙和老年患者的下第三牙表现出明显的冲击特征.
结论:
- 使用30年截止期的年龄,没有被发现是受影响的第三手术中术后并发症增加的统计学上显著预测因素.
- 这些发现与之前的一些研究相矛盾,表明应该优先考虑其他风险因素,以最大限度地减少特定程序的并发症.
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