肥胖患者尾切除术后的手术并发症:一个单一的三级护理中心研究
Abdulrahman Al Sabr1, Abdulrahman Aljohani1, Sultan Althoubi1
1Medicine and Surgery, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Cureus
|December 20, 2024
概括
肥胖不会显著影响尾炎的结果或手术管理. 然而,肥胖患者的住院时间较长,可能是由于并发症和晚期诊断.
科学领域:
- 医学 医学 医学 医学 医学
- 手术 手术 手术 术 术
- 公共卫生 公共卫生
背景情况:
- 全球肥胖率的上升促使人们对其健康影响进行调查.
- 肥胖是众所周知的许多疾病的风险因素,但其对尾炎的影响不太清楚.
- 超重和肥胖个体尾炎的管理需要进一步澄清.
研究的目的:
- 评估肥胖对尾炎和尾切除术结果的影响.
- 为了比较尾炎的管理和并发症超重与肥胖的成年患者.
- 为了确定肥胖是否需要针对尾炎进行量身定制的手术干预.
主要方法:
- 对1471名经过腹腔镜尾切除术的成年患者 (18-65岁) 的回顾性分析.
- 数据来自沙特阿拉伯利雅得国王阿卜杜拉齐兹医疗城 (2015年1月至2022年1月).
- 排除标准:年龄范围以外的患者,保守/选择性治疗,孕妇患者. 使用SAS软件进行统计分析.
主要成果:
- 最终队列:564名患者,主要是男性 (63.65%),平均BMI为27.41.
- 糖尿病,高脂血症和高血压等并发症在BMI组之间存在显著差异.
- 大多数患者 (86.35%) 患有无并发性尾炎;所有BMI类别的并发症率相似. 肥胖患者住院时间更长.
结论:
- 肥胖对尾炎及其手术结果的影响不如预期那么明显.
- 肥胖影响住院时间,可能是由于伴随疾病和诊断时的年龄.
- 目前的尾炎管理方案似乎适合肥胖患者,这挑战了对高度专业化的干预措施的需求.
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