双边内镜胸部交感切除术后补偿性出汗的长期结果和预测因素
Néstor J Martínez-Hernández1,2, Míriam Estors-Guerrero2, José M Galbis-Caravajal2
1Department of Thoracic Surgery, Ascires Biomedical Hospital, València, Spain.
概括
双边内镜胸部交感切除术有效治疗过,但补偿性出汗是一种副作用. 高血红蛋白和大麻使用会降低这种风险,而吸烟和手/手出汗会增加这种风险.
科学领域:
- 胸部外科手术 胸部外科手术
- 皮肤病学 皮肤病学
- 医学研究 医学研究
背景情况:
- 双边内镜胸部交感切除术 (BEST) 是超的主要治疗方法.
- 补偿性出汗 (CS) 是 BEST 的常见副作用,原因不明.
- 识别CS风险因素对于患者管理至关重要.
研究的目的:
- 为了确定BEST后补偿性出汗的预测因素.
- 分析影响BEST后生活质量 (QOL) 的因素.
主要方法:
- 采访了一组98名接受BEST治疗超的患者.
- 收集了手术前的数据和CS严重程度 (轻度,中度,严重).
- 后勤和贝叶斯回归模型分析了CS发生率,严重程度和QOL.
主要成果:
- 最好的达到94.38%的有效性;34.69%的经验CS (大多是轻微的).
- 较高的血红蛋白和大麻使用对CS有保护作用.
- 吸烟和手/手的过增加了CS风险.
结论:
- 长期跟进确定了关键的CS预测因素.
- 术前咨询对于管理患者的期望至关重要.
- 识别有风险的患者 (如吸烟者,低血红蛋白) 可以改善结果.
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