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血糖状况在耳鼻门手术后不良结果中的作用
Thomas Schaschinger1, Tobias Niederegger1, Jule Brandt1
1Medical Faculty, University of Heidelberg, Heidelberg, Germany.
The Laryngoscope
|December 9, 2025
概括
低血糖控制显著增加了耳鼻喉 (ENT) 手术中的并发症风险. 术前血红蛋白A1c (HbA1c) 查对于识别未诊断的糖尿病和糖尿病前期至关重要,以改善外科手术的结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内分泌学 在内分泌学.
- 手术结果研究研究.
背景情况:
- 低血糖控制是不良外科手术结果的已知危险因素.
- 血糖控制对耳鼻喉 (ENT) 程序的影响尚未得到充分研究.
- 在手术前评估血糖状况对于患者的安全至关重要.
研究的目的:
- 为了研究手术前血红蛋白A1c (HbA1c) 水平和在耳鼻腔外科手术患者的术后结果之间的关联.
- 评估该人口中未被识别的失糖症 (未被诊断的糖尿病和糖尿病前期) 的患病率.
- 为了确定与不同的血糖控制水平相关的特定并发症.
主要方法:
- 美国外科医生学院国家外科质量改进计划 (ACS-NSQIP) 数据库的分析从2021-2023.
- 在糖尿病诊断和HbA1c值的基础上,将耳鼻瘤患者分为血糖组的分层.
- 多变量逻辑回归以确定HbA1c与复合术后结果的独立关联.
主要成果:
- 在14034名耳鼻喉患者中,6.2%的HbA1c水平表明未被诊断的糖尿病.
- 随着在各种 ENT 程序中血糖控制的恶化,并发症率增加.
- 与健康个体相比,被诊断为糖尿病和血糖控制不佳的患者的任何并发症,手术并发症,医疗并发症和再入院的几率明显更高.
结论:
- 手术前的血糖状况,特别是HbA1c水平,是LNT手术中短期术后并发症的强有力的预测指标.
- 相当一部分耳鼻喉患者患有未被诊断的糖尿病或糖尿病前期.
- 建议进行常规的手术前HbA1c查,以确定风险较高的个体,以便进行早期干预和改善手术结果.
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