输卵管外妊娠:在COVID-19大流行前期和前期之间的比较管理
Lumi Tomishige Chaves1, Rafael Maia1, Alberto Borges Peixoto2,3
1Universidade Federal de São Paulo Escola Paulista de Medicina Department of Obstetrics São PauloSP Brazil Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
概括
在COVID-19大流行期间,输卵管外妊娠 (EP) 的腹痛呈现增加了. 然而,预期的管理增加,而手术干预减少,导致更短的住院时间.
科学领域:
- 产科和妇科 产科和妇科
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- "COVID-19"大流行严重影响了医疗保健和患者的表现.
- 输卵管外妊娠 (EP) 是一个关键的产科紧急情况,需要及时诊断和管理.
研究的目的:
- 调查与大流行前时期相比,COVID-19大流行初期的一年内管外妊娠 (EP) 的临床表现和管理的变化.
主要方法:
- 一项回顾性队列研究比较了2019年3月至2020年3月 (大流行前) 的输卵管EP病例与2021年3月至3月 (大流行) 的病例.
- 分析的关键因素包括风险因素,临床特征,实验室数据,超声波发现,治疗和并发症.
主要成果:
- 流行病组显示下腹疼痛的患病率更高 (91.4%与78.1%相比).
- 预期管理显著增加 (40.0%对18.5%),而手术管理下降 (47.1%对67.7%).
- 在大流行期间,住院时间较短 (1.3天而不是2.0天).
结论:
- 尽管患者病史或诊断参数没有显著差异,但在大流行期间腹痛的发生频率更高.
- 在大流行期间,治疗策略转向增加预期管理和减少管 EP 的手术干预.
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