在部手术中评估骨质水泥植入综合征的危险因素 - 一项横截面观察性研究
Rashmi Pal1, J Bindu Niharika1, Pooja Vaskle1
1Department of Anesthesiology, MGM Medical College and M.Y. Hospital, Madhya Pradesh, India.
Bioinformation
|February 9, 2026
概括
接受关节固手术的老年患者面临更高的骨植入综合征 (BCIS) 风险,这是导致心血管崩的严重并发症. 对于高风险个体来说,早期识别和监测至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
背景情况:
- 骨水泥植入综合征 (BCIS) 是水泥关节整形术的严重并发症.
- BCIS可能导致缺氧,低血压和心血管崩.
- 有限的印度研究存在于BCIS风险因素.
研究的目的:
- 调查印度患者接受关节结合手术的BCIS的发病率和危险因素.
- 确定与BCIS发展相关的患者人口统计和手术因素.
主要方法:
- 对50名接受关节固手术的患者进行前性研究.
- 收集了关于患者人口统计,并发症,假肢类型和手术内事件的数据.
- 记录和分析了BCIS发生率和严重程度.
主要成果:
- 在20%的患者中发生BCIS,主要是轻度1级.
- 显著的危险因素包括晚年 (平均77.7岁),ASA 3级,COPD,高血压和长茎假体.
- 在混凝土插入后30分钟内发生BCIS,需要立即介入.
结论:
- 患有COPD和高血压等并发症的老年患者,以及接受长茎假肢的患者,患BCIS的风险增加.
- 密切监测和早期干预对于高风险手术患者的BCIS管理至关重要.
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