在口腔自由重建后立即进行口服养
Hugo Poncet1, Franck Delanoë1, Frédéric Lauwers1
1Plastic and Maxillo-facial Surgery Department, Pierre-Paul Riquet Hospital, Toulouse University Hospital Center, France.
Journal of stomatology, oral and maxillofacial surgery
|December 12, 2024
概括
在头部手术后立即口服养 (IOF) 可以减少严重的并发症和住院时间. 需要进一步的研究来确定IOF的最佳候选人,以改善患者的治疗结果.
科学领域:
- 头部和部手术 头部和部手术
- 口腔重建 在口腔重建.
- 外科手术的结果
背景情况:
- 在头部手术后早期口服养的定义或益处方面没有共识.
- 立即口服养 (IOF) 是一种改善恢复的潜在干预措施.
- 了解IOF对术后发病率和住院时间的影响至关重要.
研究的目的:
- 评估手术后2天内即时口服养 (IOF) 对严重的手术后发病率和住院时间 (LoS) 的影响.
- 为了确定与延迟口服养 (DOF) 相关的因素,在手术后10天内.
主要方法:
- 对132名接受口腔自由重建的患者进行了回顾性队列研究 (2021-2023年).
- 多变量回归分析以评估IOF,严重发病率和LoS之间的关联.
- 混变量的分析,包括人口统计,并发病症和手术特征.
主要成果:
- 22%的患者在2天内接受IOF;78%的患者在≥3天后接受口服养.
- IOF独立地与手术后严重发病率降低 (AOR 0.3) 和较短的LoS (AEE -6.7) 相关.
- 延迟口服养 (DOF) 与心血管病史有关,并且与先前用于头癌的放射治疗负相关.
结论:
- 在头部和部手术后的术后护理中,应考虑立即口服养 (IOF) 协议.
- 为了更广泛的临床实施,需要进一步定义IOF的理想候选者.
- 在改善恢复轨迹和资源利用方面,IOF显示出前景.
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