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三十年造口患者医疗服务回顾:茹伊斯迪福拉及其周边地区

Thirty years of the health care service for ostomy patients in Juiz de Fora and surroundings.

机构信息

- Universidade Federal de Juiz de Fora, Faculdade de Medicina - Departamento de Cirurgia - Juiz de Fora - MG - Brasil.

- Universidade Federal de Juiz de Fora, Faculdade de Medicina - Juiz de Fora - MG - Brasil.

出版信息

Rev Col Bras Cir. 2021 Jan 20;48:e20202644. doi: 10.1590/0100-6991e-20202644. eCollection 2021.

Abstract

OBJECTIVE

to establish the epidemiological profile of ostomized patients treated at the Health Care Service for Ostomy Patients in Juiz de Fora and region (SASPO/JF) and to quantify the pathologies that led to the stoma as well as the ostomy-related complications.

METHOD

a retrospective study was carried out with the analysis of 496 medical records of patients registered at HCSOP/JF over 30 years and who remained in at the service in June 2018. The following variables were considered: age, sex, pathology that led to the stoma, type, time, location and complications of stomas.

RESULTS

53.43% were male patients and 46.57% female. The average age was 56.24 years among men and 58.40 years among women. Eight patients had two types of ostomies simultaneously and a total of 504 ostomies were as follows: 340 colostomies (67.46%), 117 ileostomies (23.21%) and 47 urostomies (9.33%). Additionally, 47.65% of the colostomies and 76.92% of the ileostomies were temporary, while all urostomies were permanent. In 70.24% of cases, the reason for making the stoma was malignancy. There were 277 stomas with one or more complications (54.96%).

CONCLUSIONS

most of the ostomized patients were over 50 years old and the main diagnosis that led to the stoma was malignancy. Ileostomies had a higher percentage of complications than colostomies and urostomies and, for all types of stomas, the most frequent complication was dermatitis.

摘要

目的

建立朱伊泽拉福拉和地区造口患者医疗服务中心(SASPO/JF)治疗的造口患者的流行病学特征,并量化导致造口的病理以及与造口相关的并发症。

方法

这是一项回顾性研究,分析了 30 年来在 HCSOP/JF 登记并在 2018 年 6 月仍在该服务中的 496 名患者的病历。考虑了以下变量:年龄、性别、导致造口的病理、类型、时间、位置和造口并发症。

结果

男性患者占 53.43%,女性患者占 46.57%。男性平均年龄为 56.24 岁,女性为 58.40 岁。8 名患者同时有两种类型的造口,共有 504 个造口如下:340 个结肠造口(67.46%)、117 个回肠造口(23.21%)和 47 个尿路造口(9.33%)。此外,47.65%的结肠造口和 76.92%的回肠造口是临时的,而所有的尿路造口都是永久性的。70.24%的病例造口的原因是恶性肿瘤。有 277 个造口有一个或多个并发症(54.96%)。

结论

大多数造口患者年龄在 50 岁以上,导致造口的主要诊断是恶性肿瘤。回肠造口的并发症发生率高于结肠造口和尿路造口,对于所有类型的造口,最常见的并发症是皮炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8658/10846395/8ec6b4ab33e7/rcbc-48-e20202644-g001.jpg

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