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慢性脏疾病增加了延迟多斑切除术后出血的风险:一个大规模的倾向性得分匹配分析
Hye Kyung Hyun1, Nak-Hoon Son2, So Hyeon Gwon2
1Department of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
患有慢性病 (CKD) 的患者面临更高的风险,延迟的多片切除术后出血. 这种风险随着CKD的严重程度而升级,强调了在所有CKD患者中需要谨慎的多角切除术的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 腎臟病學 (nephrology) 是一種醫學.
- 临床研究 临床研究
背景情况:
- 慢性病 (CKD) 与多重切除术后延迟出血 (DPPB) 之间的关系尚未得到充分证实.
- 了解这种关联对于内镜手术期间的患者安全至关重要.
研究的目的:
- 调查CKD与DPPBD风险之间的关联.
- 要确定CKD是否是DPPB的独立风险因素.
主要方法:
- 在韩国进行的一项大型队列研究 (2005-2022年) 分析了接受结肠镜检查和多眼切除术的患者.
- 倾向性得分匹配和治疗权重的逆概率被用来控制混因素.
- 共变量包括患者,聚和与程序相关的变量.
主要成果:
- 患有CKD的患者患有DPPB的风险明显更高 (OR1.80).
- DPPB的风险随着CKD阶段 (早期阶段或2.38或晚期或2.80) 的增加而增加.
- 在反向概率加权分析后,研究结果很强大.
结论:
- 即使在早期阶段,CKD也是DPPB的独立风险因素.
- 在患有CKD的患者中,DPPB的风险取决于阶段.
- 建议所有慢性病患者在多角切除术期间加强警.
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