患者是否检测到在骨格内科手术后呼吸的变化?
David Pellby1, Martin Bengtsson2
1Consultant Dentomaxillofacial Radiology, Department of Imaging and Function, Skåne University Hospital, Lund, Sweden.
概括
整形手术改变上呼吸道体积 (UAV),但这些变化与无症状患者的生活质量改善无关. 当患者在手术前感知到功能障碍时,患者报告的结果最有价值.
科学领域:
- 口腔和牙面部外科手术
- 整形外科 整形外科 整形外科
- 健康 结果 研究 研究 结果
背景情况:
- 整形手术纠正dentofacial变形,可能改变上呼吸道体积 (UAV).
- 无人机变化对无症状个体患者报告的益处的影响尚不清楚.
研究的目的:
- 为了研究上呼吸道体积 (UAV) 的变化与患者在整形手术后报告的益处之间的关联.
- 利用患者报告的结果指标 (PROM) 来评估这些关联.
主要方法:
- 54名患者 (年龄在18-30岁) 的回顾性研究,在没有先前呼吸问题的情况下接受了为牙面形外科手术.
- 通过3D计算机断层扫描测量UAV的变化;使用口腔健康影响概况49 (OHIP-49) 评估与健康相关的生活质量.
- 统计分析包括t测试和斯皮尔曼等级相关性,并对BMI等共变量进行调整.
主要成果:
- 在UAV的变化和患者报告的与健康相关的生活质量 (OHIP-49分数) 之间没有发现显著的关联.
- 虽然50%的受试者经历了UAV的增加,而50%的UAV减少,但两组都报告了类似的OHIP-49术后得分.
- 与UAV减少患者相比,UAV增加患者的OHIP-49得分改善较小,可能是由于基线差异.
结论:
- 在整形手术后,上呼吸道体积的变化没有被证明与患者报告的生活质量改善有关,在这个无症状队列中.
- 评估整形手术结果的PROM,特别是与呼吸道相关的益处,应专注于报告先前存在功能障碍的患者.
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