选择性腹腔镜检查良性妇科症状后便秘 - - 一项前性观察研究
Paul Berlund1, Charlotte Reddington2, Claudia Cheng2
1From the Gynecology 2 Unit (Drs. Berlund, Reddington, Cheng, and Healey), The Royal Womens Hospital, Parkville, Australia.
Journal of minimally invasive gynecology
|June 15, 2023
概括
在妇科腹腔镜检查后,术后便秘很常见,影响70%的患者. 这种情况会引起严重的麻烦,并没有发现预测其发生的特定因素.
科学领域:
- 妇科 妇科医生 妇科
- 外科手术的结果
- 胃肠病学 胃肠病学
背景情况:
- 手术后便秘是手术后经常出现的并发症.
- 良性妇科腹腔镜检查是常见的,需要了解其相关风险.
- 术后便秘对患者幸福感的影响需要进一步研究.
研究的目的:
- 为了确定手术后便秘的发病率,在接受选择性腹腔镜检查为良性妇科疾病的患者.
- 评估与术后肠道习惯变化相关的烦程度.
- 确定影响术后便秘率的潜在因素.
主要方法:
- 进行了一项前性观察性研究,其中103名参与者接受了选择性妇科腹腔镜检查.
- 参与者完成了手术前,手术后一周和手术后三个月的调查.
- 使用修改的ROME IV标准定义了便秘;收集了关于肠道习惯,缓解疼痛,药使用和痛苦的数据.
主要成果:
- 在70%的参与者报告了手术后便秘.
- 第一次排便的平均时间为3天,32%的患者在术后第三天经历了第一次排便.
- 便秘与更高水平的烦有关,没有特定的变量被确定为影响其发生.
结论:
- 手术后便秘是接受选择性妇科腹腔镜检查的患者普遍和困扰的问题.
- 目前的分析没有揭示特定的手术前或手术后因素,可以预测便秘的发展.
- 可能需要进一步的研究来探索预防策略和管理选项.
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