大麻使用增加了手术后出血的风险,患者接受腹部身体轮
Hayeem Rudy1, Yi-Hsueh Lu1, Evan Rothchild1
1Division of Plastic Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, New York, NY, USA.
Aesthetic plastic surgery
|January 8, 2025
概括
积极使用大麻会增加腹部身体轮手术后血瘤的风险. 建议对大麻使用进行手术前查,以减轻手术并发症并提高患者的安全性.
科学领域:
- 整形外科 整形外科 整形外科
- 外科手术的结果
- 大麻素研究 研究 大麻素研究
背景情况:
- 增加大麻使用需要了解其对手术结果的影响.
- 之前对大麻生理效应的研究是广泛的,但其手术含义尚未明确.
- 腹部身体轮手术,包括腹部整形和腹腔切除术,越来越常见.
研究的目的:
- 为了研究大麻消费与手术后并发症之间的关联,在接受腹部身体轮手术的患者中.
- 在这个手术患者群体中确定与大麻使用相关的特定风险.
主要方法:
- 从2016年到2021年,对815名接受腹部体形轮的患者进行了回顾性图表审查.
- 数据包括人口统计,大麻使用情况 (活跃,以前,从未使用过),并发症,烟草使用和90天内术后并发症.
- 统计分析以确定与大麻使用相关的并发症风险.
主要成果:
- 7.5%的患者是活跃的大麻使用者,3.8%是前使用者,88.7%从未使用过.
- 任何大麻使用史都与并发症风险增加有关 (OR=1.96;p=0.006).
- 活跃的大麻使用者显示出血瘤形成的风险明显更高 (OR=3.02;p=0.013).
结论:
- 积极使用大麻是腹部身体轮后手术后血瘤的重要危险因素.
- 对大麻使用的例行手术前查对于识别有风险的患者至关重要.
- 应为使用大麻的患者制定量身定制的降低风险的策略,以提高手术的安全性.
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