吸烟与甲状腺切除术后的不良临床结果有关:一个5年的回顾性分析
Yue Chen1, Junxin Chen1, Yanrui Huang1
1Department of Endocrinology and Diabetes Center, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
BMC endocrine disorders
|March 18, 2025
概括
吸烟增加了甲状腺切除术后不良结果的风险,包括声部功能障碍和呼吸道并发症. 这一发现强调了在甲状腺手术前戒烟的重要性,以改善患者的康复.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 公共卫生 公共卫生
背景情况:
- 吸烟是术后并发症的一个已知的危险因素.
- 吸烟对甲状腺切除术结果的具体影响尚未得到充分证实.
研究的目的:
- 为了研究当前吸烟和甲状腺切除术后不良临床结果之间的联系.
- 为了确定吸烟是否是甲状腺手术后并发症的独立风险因素.
主要方法:
- 对接受甲状腺切除术的18岁以上患者的国家住院患者样本 (2016-2020年) 数据的分析.
- 将患者分为当前吸烟者和非吸烟者,并比较结果,在倾向得分匹配后使用单变量和多变量逻辑回归.
主要成果:
- 目前吸烟者 (9.90%) 患不良排泄,声部功能障碍,低血,低血和呼吸道并发症的风险明显更高.
- 在对潜在混因素进行调整后,这些关联仍然很重要.
- 分层分析证实,对于因恶性瘤而接受甲状腺切除术的患者,与其他甲状腺疾病相比,患有类似风险.
结论:
- 吸烟是甲状腺切除术后不良临床结果的独立风险因素.
- 这些发现强调了需要为接受甲状腺手术的患者提供戒烟计划.
- 解决吸烟状况可能会减轻术后并发症并改善患者的康复.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
4.1K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.1K
The Thyroid Gland
3.4K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
3.4K
Statistical Methods for Analyzing Epidemiological Data
268
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
268
Stress Prevention and Stress Management Techniques IV
23
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
23
Chronic Pharyngitis
808
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
808
Observational Studies
8.2K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
8.2K


