Int Arch Otorhinolaryngol:抽烟对慢性/复发性扁桃体炎和扁桃腺切除术后出血的影响

2017-05-15 AlexYang MedSci原创

抽烟对口腔和咽黏膜有着许多的不良作用。结果可能是发展成为扁桃体感染和诱导扁桃腺切除术后出血(PTB)。最近,有研究人员就是否抽烟者患有更多的慢性/复发性扁桃体炎或者发展成为更多的PTB进行了研究。研究采用了一种回顾性的研究,包括了两个成年人组。组1为因慢性/复发性扁桃体炎而经历了扁桃腺切除术的抽烟者;组2为慢性/复发性扁桃体炎PTB需要控制抽烟量的病人群体。组1主要作为组2的群体参照。研究人员从医

抽烟对口腔和咽黏膜有着许多的不良作用。结果可能是发展成为扁桃体感染和诱导扁桃腺切除术后出血(PTB)。最近,有研究人员就是否抽烟者患有更多的慢性/复发性扁桃体炎或者发展成为更多的PTB进行了研究。研究采用了一种回顾性的研究,包括了两个成年人组。组1为因慢性/复发性扁桃体炎而经历了扁桃腺切除术的抽烟者;组2为慢性/复发性扁桃体炎PTB需要控制抽烟量的病人群体。组1主要作为组2的群体参照。研究人员从医疗记录中获取了相关数据。

研究发现,组1包括了206名年龄在18-50岁(均值 26±7.6)的成年人。28%(57名病人)的病人是抽烟者,而在普通人群中,抽烟者比例在2000年和2010年分别为24%和20%(p=0.5, p=0.18)。组2包括了114名年龄在18-73岁(均值 26±7.6)的病人。43%的病人为抽烟者,是普通人群抽烟人数比例的两倍(p=0.004, p=0.0004, 在2000和2010),是组1的1.5倍((p=0.02)。术后出血抽烟者比例在术后8-10天和术后10天以后的比例分别为53%和60%(p=0.0005 和 p<0.0001)。十个病人中有五个表现为二次PTB的都是抽烟者。最后,研究人员指出,抽烟者会遭遇更多的慢性/复发性扁桃体炎发作,并表现了扁桃腺切除后更倾向于PTB。停止抽烟可以减弱慢性/复发性扁桃体炎。是否术前节制或者戒烟的时间长短可减少PTB事件发生仍旧需要更多的研究。

原始出处:

Cinamon U, Goldfarb A, Marom T. The Impact of Tobacco Smoking Upon Chronic/Recurrent Tonsillitis and Post Tonsillectomy Bleeding. Int Arch Otorhinolaryngol. April 2017.

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    2017-05-17 tanxingdoctor

    学习了谢谢分享

    0

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    2017-05-17 gujh
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    2017-05-17 laoli

    学习了,谢谢分享!

    0

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    2017-05-16 执着追梦

    学习,感谢分享

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