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Analgesic Effect of Caudal and Abdominal Nerve Blocks among Children Undergoing Inguinal Surgeries: An Original Research 接受腹股沟手术的儿童接受尾部和腹部神经阻滞的镇痛效果:原创研究
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_255_24
Preeti Jamwal, Ranjeet Kumar Mohanty, Ayesha Khan, Jagannath Mishra, H. D. Tiwari, Nihitha Koneru, Rahul Tiwari
ABSTRACT Pediatric inguinal surgeries sometimes cause considerable post-operative pain that requires effective analgesics. Caudal and abdominal nerve blocks may help this population with pain. It is uncertain how successful they are compared. A randomized controlled trial included 70 pediatric inguinal surgery patients. An abdominal (ANB) or caudal nerve block (CNB) was randomly assigned to participants in addition to usual analgesic treatment. Post-operative pain was measured at various times using a standardized scale. The initial rescue analgesia time and dose were recorded. Statistics were used to compare CNB and ANB results. The CNB and ANB groups were demographically similar. At every time point, the two groups’ analgesic usage and post-operative pain were similar. No serious adverse events occurred in either group. CNB and ANB provide equivalent analgesia for pediatric inguinal surgeries. Both approaches alleviate pain well and have similar post-operative effects. Individual nerve block approaches must be chosen based on patient features and clinical considerations. More research is needed to determine each procedure’s long-term safety and results.
摘要 小儿腹股沟手术有时会引起相当大的术后疼痛,需要有效的镇痛剂。尾部神经阻滞和腹部神经阻滞可能有助于缓解这类人群的疼痛。目前还不确定这两种方法的成功率。 一项随机对照试验纳入了 70 名小儿腹股沟手术患者。除常规镇痛治疗外,参与者还被随机分配了腹部神经阻滞(ANB)或尾部神经阻滞(CNB)。使用标准化量表在不同时间测量术后疼痛。记录最初的镇痛抢救时间和剂量。使用统计学方法比较 CNB 和 ANB 的结果。 CNB 组和 ANB 组的人口统计学特征相似。在每个时间点,两组的镇痛剂用量和术后疼痛情况相似。两组均未发生严重不良事件。 CNB和ANB为小儿腹股沟手术提供的镇痛效果相当。两种方法都能很好地缓解疼痛,术后效果也相似。必须根据患者的特征和临床考虑因素来选择不同的神经阻滞方法。要确定每种方法的长期安全性和效果,还需要进行更多的研究。
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引用次数: 0
Artificial Intelligence and its Awareness and Utilization among Dental Students and Private Dental Practitioners at Alkharj, Saudi Arabia 人工智能及其在沙特阿拉伯 Alkharj 的牙科学生和私人牙医中的认知与应用
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_188_24
I. Gowdar, Abdulaziz Abdulsalam Alateeq, Asim Mohammed Abdullah Alnawfal, Abdulaziz Fahd Abdullah Alharbi, Abdulaziz Mohammed Shaya Alhabshan, Saleh Mohammed Salem Aldawsari, Nawaf Abdullah Hussein AlHarbi
ABSTRACT Artificial intelligence (AI) is commonly used in the modern day medical system for medical and dental imaging diagnostics, decision support, precision, hospital monitoring, robotic assistants, and so on. All branches of dentistry have a role of AI, like endodontics, cancer diagnosis, and cephalometric analysis. With the advancing technology, dental professionals need to upgrade themselves. To assess awareness and attitude of dental students and dental practitioners in Alkharj toward AI. A total of 100 dental students from a teaching institute and 100 private dental practitioners participated in the study. A closed-ended questionnaire was used containing 14 questions related to awareness and attitude toward AI. Participation was voluntary. 33% of study participants were aware of the working principle of AI; 68% of study subjects are aware of uses of AI in the dental field. 87% thinks AI helps in radiological diagnosis; 56.5% thinks AI helps in cancer detection. Awareness about AI among study participants was less than 50%. The overall attitude of dental professionals was positive.
摘要 人工智能(AI)在现代医疗系统中被广泛应用于医疗和牙科成像诊断、决策支持、精确度、医院监控、机器人助手等方面。牙科的各个分支都有人工智能的作用,如牙髓病学、癌症诊断和头颅测量分析。随着技术的发展,牙科专业人员也需要提升自己。 评估 Alkharj 的牙科学生和牙科医生对人工智能的认识和态度。 共有 100 名来自教学机构的牙科学生和 100 名私人牙科医生参与了研究。研究采用封闭式问卷,包含 14 个与对人工智能的认识和态度有关的问题。参与者均为自愿参加。 33%的研究参与者了解人工智能的工作原理;68%的研究对象知道人工智能在牙科领域的用途。87%的人认为人工智能有助于放射诊断;56.5%的人认为人工智能有助于癌症检测。 研究对象对人工智能的认识不足 50%。牙科专业人员的总体态度是积极的。
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引用次数: 0
Factors Influencing the Success of Endodontic Retreatment: Insights from a Retrospective Study 影响牙髓再治疗成功的因素:一项回顾性研究的启示
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_283_24
Shan Sainudeen, Priya Rani, Divya Batra, B. D. Vedula, Vidya A. Vaybase, Suresh Mitthra, Mohammed Mustafa
ABSTRACT The purpose of this retrospective study was to assess the variables affecting endodontic retreatment technique success. A 5-year period of 500 patient records from a dental clinic were examined. Pre-operative factors, procedure specifics, post-operative results, and demographic information were all documented. The study employed statistical analysis to determine the important factors that influence retreatment success. The average age of the study group was 45.2 years, and 56% of the participants were female. Sixty-four percent of patients had multiple root canals, and the most frequent initial diagnosis (60%) was apical periodontitis. The results of the surgery varied: 50% of patients had full healing, 30% had partial healing, and 20% had no improvement at all. Significant indicators of retreatment success were found to include age, initial diagnosis, and root canal morphology (P < 0.05). The effectiveness of endodontic retreatment operations is mostly influenced by age, apical periodontitis, and root canal morphology. Optimizing treatment results requires individualized treatment techniques based on each patient’s unique features. Clinicians can benefit greatly from these findings in terms of increasing endodontic retreatment success rates and enhancing patient care.
摘要 这项回顾性研究的目的是评估影响牙髓再治疗技术成功率的变量。 研究人员对一家牙科诊所的 500 份患者病历进行了为期 5 年的检查。术前因素、手术细节、术后结果和人口统计学信息都被记录在案。研究通过统计分析确定了影响再治疗成功率的重要因素。 研究组的平均年龄为 45.2 岁,56% 的参与者为女性。64%的患者有多个根管,最常见的初步诊断(60%)是根尖牙周炎。手术结果各不相同:50%的患者完全愈合,30%的患者部分愈合,20%的患者没有任何改善。研究发现,再治疗成功的重要指标包括年龄、初步诊断和根管形态(P < 0.05)。 牙髓再治疗手术的效果主要受年龄、根尖牙周炎和根管形态的影响。要优化治疗效果,就必须根据每位患者的独特特征采用个性化的治疗技术。临床医生可以从这些研究结果中获益匪浅,从而提高牙髓再治疗的成功率并加强对患者的护理。
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引用次数: 0
Development of a Test Tube Automatic Sorting Storage Device After Completion of Inspection 开发完成检验后的试管自动分类储存装置
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_309_24
Zhao Peng, F. A. Jumuddin
ABSTRACT To develop an automatic test tube classification and storage device that sorts test tube boxes by detecting the box height and test tube cap color, improving laboratory efficiency and accuracy. An upper computer uses a No. 1 push rod to allocate test tube boxes to specific branch conveyor belts based on initial sorting criteria. Further sorting is done by the No. 2 push rod, which places boxes into adjustable slots within a seven-layer elevating storage system, categorizing them by day through height adjustment to match the conveyor belt. This invention automates test tube sorting and storage, aiding medical staff in quickly and accurately locating test tubes post-inspection.
摘要 开发一种自动试管分类和储存装置,通过检测试管盒的高度和试管帽的颜色对试管盒进行分类,从而提高实验室的效率和准确性。 上层计算机使用 1 号推杆,根据初始分类标准将试管盒分配到特定的分支传送带上。进一步的分类工作由 2 号推杆完成,它将试管盒放入七层升降存储系统中的可调节槽中,通过高度调节将试管盒按天分类,使其与传送带相匹配。 本发明实现了试管分类和存储的自动化,有助于医务人员在检查后快速准确地找到试管。
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引用次数: 0
Retrospective Study of Anesthesia-Related Complications in Elderly Patients Undergoing Surgery 手术老年患者麻醉相关并发症的回顾性研究
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_253_24
Sanjeev Yadav, Abhishek Jahagirdar, Preeti Jamwal, Jagannath Mishra, Gurinder B. S. Thind, Chapala Shashank, Rahul Tiwari
ABSTRACT Anesthesia administration in elderly surgical patients presents unique challenges due to age-related physiological changes and comorbidities. Knowing anesthesia-related complications is crucial for optimizing perioperative care in this vulnerable population. A retrospective review of electronic medical records was conducted to identify anesthesia-related complications in elderly subjects aged 65 and above undergoing surgery between January 2018 and December 2020. Data collection included demographic characteristics, comorbidities, anesthesia techniques, and postoperative outcomes. There were a total of 100 elderly patients. Cardiovascular events (35%) were the most common complication, followed by respiratory issues (20%) and adverse drug reactions (15%). Statistical analysis revealed significant associations between cardiovascular events, respiratory issues, adverse drug reactions, and anesthesia. Anesthesia-related complications pose significant risks in elderly surgical patients. Tailored anesthesia management strategies, including comprehensive preoperative assessment and vigilant intraoperative monitoring, are essential for mitigating perioperative risks and improving outcomes in this vulnerable population.
摘要 由于与年龄相关的生理变化和合并症,老年手术患者的麻醉管理面临着独特的挑战。了解麻醉相关并发症对于优化这一弱势群体的围术期护理至关重要。 我们对电子病历进行了回顾性审查,以确定在 2018 年 1 月至 2020 年 12 月期间接受手术的 65 岁及以上老年患者的麻醉相关并发症。数据收集包括人口统计学特征、合并症、麻醉技术和术后结果。 共有 100 名老年患者。心血管事件(35%)是最常见的并发症,其次是呼吸系统问题(20%)和药物不良反应(15%)。统计分析表明,心血管事件、呼吸系统问题、药物不良反应与麻醉之间存在明显关联。 麻醉相关并发症给老年手术患者带来了巨大风险。量身定制的麻醉管理策略,包括全面的术前评估和警惕的术中监测,对于降低围术期风险和改善这一弱势群体的预后至关重要。
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引用次数: 0
Assessment of Complications in Dental Implant Surgery 种植牙手术并发症评估
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_261_24
Y. Guruprasad, Mohammed Ibrahim, Kamlesh Singh, Smitha Shetty, Dr. Dev Kumar Garg, Donka Srilakshmi, Shivani Karre
ABSTRACT Dental implant surgery has become a standard procedure for replacing missing teeth, boasting high success rates. However, complications can occur, affecting treatment outcomes. Understanding the nature and frequency of these complications is essential for optimizing patient care. To assess the prevalence and types of complications associated with dental implant surgery through retrospective research. Patient records were reviewed, focusing on demographics, medical history, surgical details, implant characteristics, and postoperative complications. Complications were categorized, and statistical analysis was performed to identify associations. Among 150 cases, infection (15.3%), implant failure (8.0%), and peri-implantitis (12.0%) were the most common complications. Complication rates varied significantly across age groups (P < 0.05), with younger patients experiencing higher rates. Complications in dental implant surgery, including infection, implant failure, and peri-implantitis, are prevalent. Age appears to influence complication rates. Strategies to mitigate complications and optimize treatment outcomes are crucial.
摘要 种植牙手术已成为缺牙修复的标准程序,成功率很高。然而,并发症也可能发生,影响治疗效果。了解这些并发症的性质和发生频率对于优化患者护理至关重要。 通过回顾性研究评估与种植牙手术相关的并发症的发生率和类型。 回顾患者记录,重点关注人口统计学、病史、手术细节、种植体特征和术后并发症。对并发症进行分类,并进行统计分析以确定关联性。 在 150 个病例中,感染(15.3%)、种植失败(8.0%)和种植体周围炎(12.0%)是最常见的并发症。不同年龄组的并发症发生率差异很大(P < 0.05),年轻患者的发生率更高。 种植牙手术的并发症包括感染、种植失败和种植体周围炎,这些并发症很普遍。年龄似乎会影响并发症的发生率。减少并发症和优化治疗效果的策略至关重要。
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引用次数: 0
Efficacy of Structured Teaching Programs in Improving Oral Hygiene Knowledge among School Children at Alkharj, Saudi Arabia 结构化教学计划在提高沙特阿拉伯 Alkharj 学童口腔卫生知识方面的效果
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_166_24
I. Gowdar, Zaid A. Alogily, Abdullah I. Alenazi, Mahfouz A. Basuliman, Muaadh H. Alamodi, Abdulaziz F. Alsubaie
ABSTRACT Children’s knowledge of oral hygiene is very important to have a good oral health. Health education intervention is the best way to impart oral hygiene knowledge to children, which is cost-effective also. To evaluate the effectiveness of a structured teaching program in improving the existing oral hygiene knowledge of children in the age group of 10–12 years. A randomized control trial was planned with one intervention group and control group. A pre-intervention test was conducted in both the groups to assess baseline oral hygiene knowledge among children. After the pre-test, the intervention group children were educated through a structured teaching program for a period of 2 weeks. Again, post-test was conducted in both the groups after a gap of a week. The pre-intervention oral hygiene knowledge scores were 8.43 ± 3.93 in the intervention group and 8.44 ± 3.90 in the control group. Post intervention, the oral hygiene knowledge score was 15.34 ± 2.37 in the intervention group and 8.96 ± 1.37 in the control group. A 45.04% increase in knowledge was observed in the intervention group. The results were statistically highly significant (P < 0.05). A structured teaching program is an effective way to impart knowledge among school children; furthermore, long-term follow-up studies are needed to evaluate oral hygiene knowledge gained through the program.
摘要 儿童的口腔卫生知识对于拥有良好的口腔健康非常重要。健康教育干预是向儿童传授口腔卫生知识的最佳途径,而且成本效益高。 为了评估结构化教学计划在改善 10-12 岁年龄组儿童现有口腔卫生知识方面的效果。 计划开展一项随机对照试验,分为干预组和对照组。两组均进行了干预前测试,以评估儿童的口腔卫生知识基线。前测结束后,干预组儿童通过为期两周的结构化教学计划接受教育。时隔一周后,再次对两组儿童进行了后测。 干预组干预前的口腔卫生知识得分是 8.43 ± 3.93,对照组是 8.44 ± 3.90。干预后,干预组的口腔卫生知识得分为(15.34 ± 2.37)分,对照组为(8.96 ± 1.37)分。干预组的口腔卫生知识增加了 45.04%。结果具有高度统计学意义(P < 0.05)。 结构化教学计划是向学龄儿童传授知识的有效方法;此外,还需要进行长期跟踪研究,以评估通过该计划获得的口腔卫生知识。
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引用次数: 0
Assessing the Impact of Dental Implant Length on Early Failure Rates: A Retrospective Analysis 评估种植牙长度对早期失败率的影响:回顾性分析
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_155_24
Bhuvaneshwari Karthikeyan, K. H. Kumar, K. Sadananda, Inderjit Murugendrappa Gowdar, S. Sonune, Doaa Abdelaziz A. Helal
ABSTRACT The selection criteria of implant is very critical. Implant length determines the mechanics of osseointegration. To investigate the influence of dental implant length on early failure rates, osseointegration success, peri-implant bone loss, and patient-reported outcomes. A retrospective analysis was conducted involving 124 participants who underwent dental implant placement. Implant lengths were categorized as short (n = 54), standard (n = 35), or long (n = 35) based on standard industry classifications. Baseline characteristics, implant lengths, and early failure rates within the first six months post-implantation were extracted from clinical records. Preliminary analysis revealed variations in early failure rates among different implant length categories. Short implants demonstrated a distinct pattern of complications compared to standard and long implants. Early failure rates were 8% for short implants, 4% for standard implants, and 2% for long implants (P = 0.04). Osseointegration success rates were 90%, 95%, and 98% for short, standard, and long implants, respectively. Peri-implant bone loss was 1.5 mm, 1.0 mm, and 0.8 mm for short, standard, and long implants, respectively (P = 0.02). Patient-reported outcomes indicated higher satisfaction levels in the long implant group (P = 0.03). The study highlights the importance of considering implant length in clinical decision-making and suggests potential associations with osseointegration success, peri-implant bone loss, and patient satisfaction.
摘要 种植体的选择标准非常关键。种植体的长度决定了骨结合的机制。 为了研究种植体长度对早期失败率、骨结合成功率、种植体周围骨质流失和患者报告结果的影响。 我们对 124 名接受种植牙手术的患者进行了回顾性分析。根据标准的行业分类,种植体长度分为短型(n = 54)、标准型(n = 35)或长型(n = 35)。从临床记录中提取了基线特征、种植体长度和种植后头六个月内的早期失败率。 初步分析显示,不同种植体长度类别的早期失败率存在差异。与标准种植体和长种植体相比,短种植体的并发症模式更为明显。短种植体的早期失败率为 8%,标准种植体为 4%,长种植体为 2%(P = 0.04)。短种植体、标准种植体和长种植体的骨结合成功率分别为 90%、95% 和 98%。短种植体、标准种植体和长种植体的种植体周围骨质流失分别为 1.5 毫米、1.0 毫米和 0.8 毫米(P = 0.02)。患者报告结果显示,长种植体组的满意度更高(P = 0.03)。 该研究强调了在临床决策中考虑种植体长度的重要性,并提出了与骨结合成功率、种植体周围骨质流失和患者满意度之间的潜在联系。
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引用次数: 0
Prevalence of Premalignant Conditions and Their Transformation Into Oral Cancers: A Clinical Study 癌前病变及其转化为口腔癌的发生率:临床研究
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_384_24
Batchu Pavan Kumar, Pallavi Narra, Vuyyuru Vidya Devi, Vishnu Gowtham Marella, Saudamini More, S. Mujoo, Neshaneni Satish Kumar
ABSTRACT The purpose of this study is to look at how often premalignant oral diseases are among patients who visit a tertiary care center, as well as how often these problems progress to become mouth malignancies. Between 2017 and 2022, 200 patients at a tertiary care facility who were identified with premalignant oral lesions had their medical records retrospectively examined. Information on lesion features, histological results, and demographics was gathered. Statistical analysis was used to determine the prevalence of premalignant oral lesions and the rate at which these lesions turned into oral malignancies, with a significance threshold of P < 0.05. The research population’s mean age was 55 years (SD ± 10), with a 65% male preponderance. The most prevalent premalignant lesions were leukoplakia (45%), erythroplakia (30%), and oral submucous fibrosis (25%). Remarkably, during follow-up, 40% of patients showed development of premalignant lesions into mouth malignancies. Based on statistical analysis, there were significant correlations (P < 0.05) between dysplastic alterations, age, tobacco use, and the development of oral malignancies from premalignant lesions. In conclusion, this study highlights the need of early diagnosis and focused therapies in tertiary care settings by offering important insights into the occurrence and evolution of premalignant oral lesions. The results provide important information that may be used to create screening programs and preventive measures that will lessen the incidence of oral cancer.
摘要 本研究的目的是了解在一家三级医疗中心就诊的患者中,口腔恶性前疾病的发生率有多高,以及这些问题发展成为口腔恶性肿瘤的频率有多高。 2017 年至 2022 年间,一家三级医疗机构对 200 名被确认患有口腔恶性前病变的患者的病历进行了回顾性检查。收集了病变特征、组织学结果和人口统计学信息。统计分析用于确定口腔恶性前病变的患病率以及这些病变转化为口腔恶性肿瘤的比率,显著性阈值为 P <0.05。 研究对象的平均年龄为 55 岁(SD ± 10),男性占 65%。最常见的癌前病变是白斑(45%)、红斑(30%)和口腔黏膜下纤维化(25%)。值得注意的是,在随访期间,40%的患者的恶性前病变发展为口腔恶性肿瘤。根据统计分析,发育不良改变、年龄、吸烟与口腔恶性肿瘤从恶性前病变发展为恶性肿瘤之间存在显著相关性(P < 0.05)。 总之,本研究通过对口腔恶性前病变的发生和演变提供重要见解,强调了在三级医疗机构进行早期诊断和重点治疗的必要性。研究结果提供的重要信息可用于制定筛查计划和预防措施,从而降低口腔癌的发病率。
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引用次数: 0
Assessment of Postoperative Complications and Outcomes in Patients Undergoing Laparoscopic Cholecystectomy 腹腔镜胆囊切除术患者术后并发症和疗效评估
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_232_24
Sanjeev Yadav, Ramavath Ramesh, Zeeshan Sheikh, Hemanth Satya Subhash Padala, Chapala Shashank, Jasmine Kalsi, Pritee Rajkumar Pandey
ABSTRACT A common surgical technique for gallbladder disorders is laparoscopic cholecystectomy (LC), which has the benefits of less postoperative discomfort and quicker recovery. The purpose of this retrospective research was to assess postoperative outcomes and complications in patients having laparoscopic correction. In total, 200 patients who had LC at the tertiary care center between 2017 and 2022 were the subjects of a retrospective investigation. We gathered and examined data on preoperative conditions, surgical specifics, postoperative results, and demographics. Notable findings from the study were as follows: (1) The average age of the patients was 47.5 years (±12.3), and there were strong correlations (P < 0.001) between age and problems. (2) Significant correlations were found between many covariates and postoperative outcomes, such as a 10% readmission rate and a mean hospital stay of 3.6 days (±1.2) (P < 0.05). (3) Different relationships were seen between the complications (P values ranging from 0.021 to <0.001), including wound infections (6%) and bile duct injuries (2.5%). To enhance patient care, a thorough assessment and focused treatments are required. This study sheds light on the frequency of postoperative problems and outcomes in patients receiving LC.
摘要 腹腔镜胆囊切除术(LC)是治疗胆囊疾病的常用手术技术,其优点是术后不适较少,恢复较快。这项回顾性研究旨在评估腹腔镜胆囊切除术患者的术后效果和并发症。 在2017年至2022年期间,共有200名在三级医疗中心接受腹腔镜矫正术的患者成为回顾性调查的对象。我们收集并检查了有关术前情况、手术细节、术后结果和人口统计学方面的数据。 研究的显著发现如下:(1)患者的平均年龄为 47.5 岁(±12.3),年龄与问题之间有很强的相关性(P < 0.001)。(2)发现许多协变量与术后结果之间存在显著相关性,例如再入院率为 10%,平均住院时间为 3.6 天(±1.2)(P < 0.05)。(3)并发症之间存在不同的关系(P 值从 0.021 到 <0.001),包括伤口感染(6%)和胆管损伤(2.5%)。 为了加强对患者的护理,需要进行全面评估和有针对性的治疗。本研究揭示了接受 LC 患者术后出现问题的频率和结果。
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引用次数: 0
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