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这页已由机器翻译。其他页面可能仍然显示为英文。View in English
  1. 首页
  2. 研究领域
  3. 关于原住民的研究
  4. 太平洋人民的健康和福祉
  5. 太平洋人民的健康文化决定因素
  6. 在内镜骨头底部手术后便秘的患病率和影响

在内镜骨头底部手术后便秘的患病率和影响

Theodore V Nguyen1, Ellen M Hong1, Benjamin F Bitner1

  • 1Department of Otolaryngology - Head and Neck Surgery, University of California, Irvine, Orange, California, United States.

Journal of neurological surgery. Part B, Skull base
|September 2, 2025

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在PubMed 上查看摘要

概括
此摘要是机器生成的。

术后便秘在内镜底手术 (ESBS) 后很常见,与更长的康复和阿片类药物使用有关. 在ESBS患者中,主动排便可能有助于控制这种常见问题.

科学领域:

  • 神经外科
  • 胃肠病学
  • 手术的结果

背景情况:

  • 经过内镜底手术 (ESBS) 后的术后便秘可能导致张力,可能导致内压力变化并影响手术重建.
  • 了解便秘的流行和促成因素对于优化患者康复和重建成功至关重要.

研究的目的:

  • 确定ESBS患者手术后便秘的发生率.
  • 确定ESBS导致便秘的因素.
  • 评估术后便秘对重建结果的影响.

主要方法:

  • 在2018年7月至2022年12月期间接受ESBS的213名患者的回顾性评估.
  • 收集的数据包括排便频率,手术指标,患者人口统计,BMI,慢性疼痛史,卧床时间,停留时间 (LOS) 和阿片类止痛药的使用.
  • 被定义为>48小时没有排便;记录了排便方案和便软化剂等干预措施.

主要成果:

  • 在69%的患者中观察到高患术后便秘率 (146/ 213).
  • 在术后期间,便秘与更长的术后休息时间和增加的吗啡等效剂量 (MED) 有关.
  • 术后便秘独立预测了更长的停留时间 (LOS),但与脑脊液 (CSF) 泄漏增加无关.

结论:

关键词:
脑脊液泄漏情况疼痛缓解剂便秘的情况类药物

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  • 在ESBS后出现高频率的术后便秘,可能受固定和阿片类药物使用的影响.
  • 对于ESBS患者来说,应考虑进行站立肠道治疗以减轻便秘.
  • 在患有便秘的患者中没有发现术后脑脊液泄漏的风险增加.
在手术后
头骨底部重建结果