多药对腰椎脊柱狭窄症老年患者手术结果的可能负面影响
Soya Kawabata1, Takehiro Michikawa2, Sota Nagai1
1Department of Orthopedic Surgery, School of Medicine, Fujita Health University, Toyoake, Japan.
Geriatrics & gerontology international
|November 25, 2024
概括
多药性对患有腰椎脊柱狭窄症 (LSS) 的老年人手术结果产生负面影响. 减少处方药可能会改善这些患者的结果.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 临床药理学 临床药理学
背景情况:
- 患有腰椎脊柱狭窄症 (LSS) 的老年人经常因为并发症和疼痛管理而经历多药性治疗.
- 多药学,定义为多种药物的使用,在优化老年患者手术结果方面提出了挑战.
研究的目的:
- 研究多药和高多药对老年LSS患者手术结果的影响.
- 评估对健康相关生活质量 (HRQOL) 和机车综合征的影响.
主要方法:
- 对于65岁以上的患者进行腰椎脊柱手术的回顾性审查.
- 评估手术前和手术后的HRQOL和机动功能得分.
- 分类为非多药性 (≤5),多药性 (6-9),高多药性 (≥10种药物) 组.
主要成果:
- 在增加多药时,没有观察到HRQOL或机动车综合征的显著基线变化.
- 手术后的HRQOL和机动车综合征阶段随着多药性进展而恶化.
- 手术结果与多药性进展有显著的关联,即使经过对混因素的调整.
结论:
- 多药性,特别是超多药性,对老年LSS患者的手术结果产生不利影响.
- 在这种人群中进行手术干预之前,仔细考虑处方药的数量至关重要.
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