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口腔外科患者医学合并症的患病率及差异:在吉赞大学的一项回顾性研究

Prevalence and Variation of Medical Comorbidities in Oral Surgery Patients: A Retrospective Study at Jazan University.

作者信息

Ali Fareedi Mukram, Al-Iryani Ghassan M, Mattoo Khurshid A, Bakri Mohammed Mousa H, Alqahtani Ahmed Shaher, Alasiri Somaih Abdullah, Hakami Atheer Othman, Ustad Farheen, Shanab Hanan G, Al-Hamad Khalid A, Almutairi Turki F, Khalid Imran

机构信息

Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia.

Maxillofacial Surgery, Prince Mohammed Bin Nasser Hospital, Ministry of Health, Jazan, Saudi Arabia.

出版信息

Med Sci Monit. 2024 Apr 24;30:e943884. doi: 10.12659/MSM.943884.

Abstract

BACKGROUND An aged population is susceptible to chronic diseases, which impacts oral surgery treatment procedures. This retrospective study aimed to evaluate the incidence of medical comorbidities in 640 oral surgery patients treated at the College of Dentistry, Jazan University. MATERIAL AND METHODS This single-center observational study investigated medical records of outpatients who visited Jazan University Dental College Hospital in a 1-year period (2018-2019). Patients’ clinical and radiographic archives were screened to obtain relevant data. Categorical and continuous variables were expressed in terms of frequency and mean values, respectively. Differences in variables were statistically analyzed using the chi-square goodness of fit and proportional test, with a probability value P≤0.05 considered significant. RESULTS Analysis of 640 patient records included records of 300 men and 340 women who underwent oral surgery, of whom 176 patients (27.5%), including 97 men and 79 women, had medical comorbidities. The most common comorbidities were endocrine disease (7.03%), cardiovascular disease (6.71%), respiratory disease (4.53%), and hematological disorders (3.43%). Individual diseases that showed higher prevalence were diabetes mellitus (4.68%), hypertension (3.43%), bronchial asthma (2.65%), and anemia (1.4%). Differences by sex were observed in many individual disorders. CONCLUSIONS Outpatients in oral surgery clinics presented a significant variance in the incidence of medical comorbidities, among which diabetes and hypertension were most common. A proper case history is the best preventive measure that helps a surgeon avert medical emergencies and post-surgical complications.

摘要

背景 老年人群易患慢性病,这会影响口腔外科治疗程序。本回顾性研究旨在评估在吉赞大学牙科学院接受治疗的640例口腔外科患者中合并症的发生率。

材料与方法 本单中心观察性研究调查了在1年期间(2018 - 2019年)前往吉赞大学牙科学院医院就诊的门诊患者的病历。对患者的临床和影像学档案进行筛查以获取相关数据。分类变量和连续变量分别以频率和均值表示。使用卡方拟合优度检验和比例检验对变量差异进行统计学分析,概率值P≤0.05被认为具有统计学意义。

结果 对640例患者病历的分析包括300名男性和340名女性接受口腔外科手术的记录,其中176例患者(27.5%),包括97名男性和79名女性,患有合并症。最常见的合并症是内分泌疾病(7.03%)、心血管疾病(6.71%)、呼吸系统疾病(4.53%)和血液系统疾病(3.43%)。患病率较高的个别疾病为糖尿病(4.68%)、高血压(3.43%)、支气管哮喘(2.65%)和贫血(1.4%)。在许多个别疾病中观察到了性别差异。

结论 口腔外科门诊患者的合并症发生率存在显著差异,其中糖尿病和高血压最为常见。详细的病史是帮助外科医生避免医疗紧急情况和术后并发症的最佳预防措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/663a/11057334/5ad2c8255f20/medscimonit-30-e943884-g001.jpg

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