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桃体切除术后有更多的成年人出血?
Deepthi Akella1, Chloe Cottone2, Maya Raghavan2,3
1School of Osteopathic Medicine, University of the Incarnate Word, San Antonio, Texas, USA.
The Laryngoscope
|January 28, 2025
概括
在15年后的成年人中,桃体切除术后出血 (PTH) 的发生率增加. 这一增长与桃体切除术后疼痛管理的显著转变相吻合,需要进一步调查这种联系.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 在儿科群体中,桃体切除术后出血 (PTH) 的发生率有所增加.
- 成年人群中PTH的趋势仍然不太了解.
研究的目的:
- 在15年的时间内调查成人PTH的发病率.
- 分析成年人桃体切除术后使用止痛药的趋势.
主要方法:
- 对TrinetX数据库 (2008-2022) 的回顾性分析.
- 包括72,232名经过桃体切除术的成年患者.
- 使用曼-肯达尔测试用于趋势检测的统计分析.
主要成果:
- PTH发病率从2008年的4.1%增加到2022年的6.2%.
- 需要回到手术室 (RTOR) 进行PTH控制的需求从0.7%上升到2.4%.
- 观察到止痛药处方模式的显著变化,可代因使用减少,NSAID和其他阿片类药物的使用增加.
结论:
- 成年人桃体切除术后的镇痛实践已经显著发展.
- 同时增加PTH发病率表明需要进一步研究的潜在联系.
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