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对高压氧气疗法中耳科不良事件的系统审查
Andrew Voigt1,2,3, Matteo Laspro4, Erika Thys3,5
1SUNY Downstate Health Sciences University, New York, NY.
概括
15%的接受高压氧 (HBO2) 治疗的患者出现了耳部并发症,主要是中耳巴罗创伤 (MEB). 风险因素包括年龄较大和先前存在的疾病,而有效的平衡技术是保护性的.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 高压医学高压医学
- 系统审查是系统的审查.
背景情况:
- 高压氧气 (HBO2) 疗法与潜在的风险有关,包括耳部疾病并发症.
- 之前关于这些并发症发生率的研究显示出了变化.
- 需要对风险和保护因素有全面的了解.
研究的目的:
- 系统地审查来自HBO2治疗的耳科并发症.
- 确定导致这些并发症的风险因素.
- 识别可能防止耳学不良事件的保护性因素.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 选标题和摘要,然后进行全文分析.
- 包括报告耳部并发症发生率和风险/保护因素的研究.
主要成果:
- 在18284名患者中,有15%的患者在HBO2治疗期间经历了不良事件.
- 中耳重创 (MEB) 发生在15%的患者中,其中42.8%的轻度和6.4%的严重程度.
- 确定了关键的风险因素:年龄增长,女性性别,头部/部病理,神经病变和难以平衡. 有效的均等化技术是保护性的.
结论:
- 耳科并发症影响了接受HBO2治疗的15%的患者.
- 高龄,女性性别和某些先前存在的疾病增加了MEB风险.
- 加强监测和适当的均衡技术可以减轻MEB风险.
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