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药物使用与远距离半径骨折的手术固定后90天和2年的术后结果不佳有关

Paul J Pottanat¹, Colin P Zieminski¹, J Ambrose Martino¹

¹Medical University of South Carolina, Charleston, USA.

Hand (New York, N.Y.)

|February 28, 2026

概括

包括酒精,尼古丁和非法药物在内的物质使用与远距离半径骨折手术后更糟糕的结果有关. 患者面临所有物质类型的并发症,医疗保健使用和死亡率的增加.

科学领域:

整形外科手术整形外科手术
创伤护理创伤护理
公共卫生公共卫生

背景情况:

在患有骨科损伤的患者中,例如远半径骨折 (DRFs),药物使用很常见.
尼古丁和大麻使用是DRF固定后不良结果的已知风险因素.
其他物质对DRF结果的影响数据仍然有限.

研究的目的:

评估酒精,尼古丁,大麻,可卡因和甲基胺使用对90天和2年的结果的影响.
评估术前物质使用障碍和手术DRF固定后的并发症之间的关联.

主要方法:

利用TrinetX数据库识别手术治疗DRF的患者.
使用ICD和CPT代码识别了手术前的物质使用障碍.
员工倾向与对照对照对患者共同疾病的匹配.

主要成果:

所有研究的物质与90天的医学并发症增加相关 (例如,疼痛,阿片类药物使用,PE,尿路感染,MI,AKI).
药物使用导致了更高的再入院和急救访问,但减少了手术室利用率.
尼古丁使用与增加2年的非工会,修复手术和肌损伤有关;所有物质都增加了2年的死亡率.

结论:

药物使用与显著更高的短期和长期并发症有关,并且在DRF固定后医疗保健利用率增加.
外科医生应向患者咨询与使用物质相关的风险.
这些风险可能会影响治疗决策,包括手术与非手术治疗.

关键词:

酒精酒精酒精酒精酒精酒精酒精大麻大麻大麻大麻大麻大麻大麻大麻这是可卡因,可卡因.远半径骨折骨折在远半径骨折.尼古丁是一种尼古丁.术后并发症术后并发症有关风险因素的风险因素.使用物质使用物质.手术手术手术手术手术手术手术

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