摘要
目的 探讨扁桃体切除术后继发性出血的危险因素,减少扁桃体切除术后出血的几率。方法 对本院2019年1月~2022年10月947例扁桃体切除术患者进行回顾性分析,排除原发性出血3例患者,其余患者分为未出血组和继发性出血组,未出血组916例,继发性出血组28例。收集患者的临床病例资料,对2组患者性别、年龄、疼痛程度、出血量、咽喉反流情况进行统计学分析,并探讨继发性出血的危险因素。结果 947例患者中发生术后迟发性出血28例,扁桃体术后继发性出血发生率为2.96%;2组性别之间差异无统计学意义,年龄、术后疼痛程度、咽喉反流在2组之间差异有统计学意义(P<0.05);进一步对后3项相关因素进行二项Logistic回归分析显示,年龄、疼痛程度、咽喉反流与继发性出血之间存在明显相关(P<0.05)。结论 扁桃体切除术后出血是一种常见的并发症,年龄、术后疼痛程度、喉咽反流等是其危险因素。
Objective To explore the risk factors of secondary bleeding after tonsillectomy and to reduce the risk of postoperative bleeding after tonsillectomy.Methods From January 2019 to October 2022,947 patients undergoing tonsillectomy in our hospital were retrospectively analyzed.Excluding 3 patients with primary bleeding,the remaining patients were divided into non bleeding group and secondary bleeding group,with 916 cases in the non bleeding group and 28 cases in the secondary bleeding group.The clinical data of patients were collected,gender,age,pain level,bleeding volume,and pharyngeal reflux status of secondary bleeding after tonsillectomy were analyzed,and the risk factors of secondary bleeding were explored.Results Among 947 patients,28 patients were secondary bleeding after operation,and the incidence of secondary bleeding after tonsil operation was 2.96%.There was no statistically significant difference between the two groups in gender,but there was a statistically significant difference in age,postoperative pain level,and pharyngeal reflux between the two groups(P<0.05);further binomial Logistic regression analysis conducted on the last three related factors showed that there was a significant correlation between age,pain severity,pharyngeal reflux and sec-ondary bleeding (P<0. 05). Conclusion Hemorrhage after tonsillectomy is a common complication;age, postoperative pain level, and laryngopharyngeal reflux are risk factors for it.
作者
张蕾
张安琪
李犇
赵治纲
宋鹏龙
ZHANG Lei;ZHANG An-qi;LI Ben;ZHAO Zhi-gang;SONG Peng-long(Department of Otolaryngology Head and Neck Surgery,The First Affliated Hospital of Harbin Medical University,Harbin 150001,China)
出处
《哈尔滨医科大学学报》
CAS
2023年第3期303-306,共4页
Journal of Harbin Medical University
