系统性审查睡眠呼吸暂停和术后并发症之间的关系后耳鼻喉手术
Ulrik Ørsø Andersen1, Casper Grønlund2, Sarah Line Lindskov Thomsen2
1Department of Otorhinolaryngology and Maxillofacial Surgery, Zealand University Hospital, Lykkebækvej 1 4600, Køge, Denmark. ulle08@gmail.com.
概括
患有阻塞性睡眠呼吸暂停 (OSA) 的患者在耳鼻喉 (ENT) 手术后面临脱,高血压和感染的风险增加. 然而,有限的证据需要进一步的高质量研究才能得出最终的结论.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 手术结果研究研究.
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是影响外科手术期间风险的常见疾病.
- 在OSA患者中,耳鼻喉 (ENT) 手术的特定风险需要澄清.
研究的目的:
- 在接受耳鼻腔外科手术的成年睡眠呼吸暂停 (OSA) 患者中系统地审查术后并发症.
- 评估当前关于这一患者群体中手术风险的证据基础.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 全面的数据库搜索 (Medline,EMBASE,Cochrane CENTRAL,CINAHL,Google Scholar) 更新时间:2024年8月27日.
- 包括专注于成人OSA患者进行非OSA特定的ENT手术的研究;ROBINS-I工具评估了偏差.
主要成果:
- 选了十八千八百八十七篇文章;审查了88篇全文,包括3项研究 (1,071名患者).
- 确定的并发症包括脱,术后高血压和感染.
- 所有纳入的研究都显示出严重的偏差风险.
结论:
- 接受耳鼻喉手术的OSA患者表现出脱,高血压和感染的风险较高.
- 证据受到小样本大小,研究异质性和不一致的报告的限制.
- 迫切需要高质量的研究,以指导术后管理和临床决策,为OSA患者在ENT设置.
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