胃肠道出血在全关节整形术和膝关节整形术后是一个罕见的事件
Eric T Ballard1, Keifer S Bergeson1, Samuel J Wisniewski2
1Orthopaedic Surgery Department, Henry Ford Genesys Hospital, Grand Blanc, Michigan; Michigan State University College of Osteopathic Medicine, East Lansing, Michigan.
The Journal of arthroplasty
|February 1, 2025
概括
关节或膝关节置换手术后的胃肠道 (GI) 出血很罕见,仅发生在0.33%的病例中. 年龄较大与这些手术后胃肠道出血的风险较高有关.
科学领域:
- 整形外科手术 整形外科手术
- 胃肠病学 胃肠病学
- 患者安全 患者安全
背景情况:
- 胃肠道 (GI) 出血是关节整形术 (THA) 和膝关节整形术 (TKA) 后的严重并发症.
- 多模式止痛方案,通常包括阿司匹林和NSAIDs,旨在减少阿片类药物的使用,但可能会影响胃粘膜的保护.
- 在接受THA和TKA的患者中,胃肠道出血的发生率需要进一步调查.
研究的目的:
- 在接受THA或TKA的患者中,以确定术后90天内胃肠道出血的发生率.
- 在这个患者群体中识别与胃肠道出血相关的危险因素.
主要方法:
- 在2015年至2022年期间接受THA或TKA治疗的8207名18岁以上患者的回顾性审查.
- 在手术后90天内评估消化道出血的患者的鉴定.
- 术后风险的分析,包括人口统计和手术类型.
主要成果:
- 胃肠道出血的总发病率为0.33% (占8206例中的27例).
- 胃肠道出血的平均时间是手术后18.6天.
- 随着年龄的增加,胃肠道出血的几率显著增加 (OR=1.15,P<0.01),而其他因素没有显示出统计差异.
结论:
- 该机构使用NSAID和阿司匹林的外科手术期间的协议表明,THA和TKA后的胃肠道出血的发生率很低.
- 胃肠道出血是THA和TKA患者术后期的一个罕见并发症.
- 在接受部和膝盖关节整形手术的患者中,年龄是术后胃肠道出血的重要危险因素.
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