在成功快速犀牛包装后复出出血的危险因素 在表症患者中
1Department of Otorhinolaryngology-Head and Neck Surgery, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Republic of Korea.
Journal of rhinology : official journal of the Korean Rhinologic Society
|December 12, 2024
概括
口服抗凝治疗和鼻腔手术史是快速犀牛鼻包装后复出出血的关键危险因素. 了解这些因素可以改善患者的治疗结果,并降低医疗保健成本.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 紧急医疗 紧急医疗
- 医疗器械技术 医疗器械技术
背景情况:
- 鼻出血 (epistaxis) 是一个常见的耳鼻喉科紧急情况.
- 快速犀牛鼻包装是一种广泛使用的气球型装置,用于表治疗.
- 在初始治疗后重新出血导致患者不适和医疗保健费用增加.
研究的目的:
- 为了确定与急性犀牛鼻包装治疗的患者复出出血相关的危险因素.
- 为了比较患者的特征和管理方法,在那些有控制表和那些有复出血的人之间.
主要方法:
- 对93名患者进行了回顾性研究,这些患者接受了Rapid Rhino治疗,用于表观症 (2020年1月 - 2022年11月).
- 患者被分为受良好控制的 (39) 和再次出血 (54) 组.
- 基于单次或多次复出出血事件的复出血患者的子组分析.
主要成果:
- 口服抗凝治疗显著增加了再次出血的风险 (OR=8.41,p=0.047).
- 鼻腔手术史与多次复出出血事件有很强的关联 (OR=22.55,p=0.009).
- 年龄,性别,治疗方法,并发症和出血部位并不是再次出血的重要危险因素.
结论:
- 同时服用口服抗凝治疗是Rapid Rhino包装后再次出血的重要危险因素.
- 之前的鼻腔手术史是多次再出血事件的强有力的预测因素.
- 详细的患者病史对于评估复出出血风险在表症管理中至关重要.
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