在患有肝病的患者中戒酒
Vugar Isazade1,2, Asmaa Yehia3,4, Umesh M Sharma5
1Department of Psychiatry and Psychology, Mayo Clinic Arizona, Phoenix, AZ, United States.
Frontiers in psychiatry
|June 10, 2025
概括
患有肝病且出现酒精戒断综合征 (AWS) 的患者面临更高的死亡率和更长的住院时间. 建议进行进一步的研究,以探索肝病患者的AWS严重程度.
科学领域:
- 肝病学和胃肠病学 肝病学和胃肠学
- 成 药物 药物 药物 药物
- 关键护理医学 关键护理医学
背景情况:
- 酒精戒断综合征 (AWS) 是一个常见的临床挑战.
- 肝病显著影响患者的生理学和治疗反应.
- 了解患有同时存在肝病的患者的AWS对于优化护理至关重要.
研究的目的:
- 为了比较AWS在患有和没有肝病的患者中的临床特征和治疗结果.
- 确定这两个群体之间的AWS管理和预后的具体差异.
主要方法:
- 以CIWA-Ar协议管理的住院病人的回顾性图表审查.
- 分析了1586例肝病患者 (LIV(+)) 和14604例无肝病患者 (LIV(-) 的住院数据.
主要成果:
- 在LIV(+) 患者中,酒精使用障碍的发病率更高 (94.3%对58%).
- LIV(+) 患者的住院时间更长 (93小时 vs. 69小时) 和CIWA-Ar得分达到峰值的时间 (26.3小时 vs. 2.4小时).
- 在LIV(+) 患者的死亡率 (16.8%对5.8%) 和ICU入院率更高.
结论:
- 肝病与AWS患者的死亡率增加和住院时间延长有关.
- 需要进行进一步的受控研究,以评估肝病患者的AWS严重程度,并使用超出CIWA-Ar的工具.
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