吸烟对开放的手腕道释放恢复的影响
Jack G Allen1, Justin Harder2, Evan Hernandez2
1Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Hand surgery & rehabilitation
|December 16, 2023
概括
积极吸烟与开放性手腕道释放手术后更糟糕的结果有关. 吸烟者经历了更高的感染率,疼痛和硬,强调戒烟对于更好的手术恢复的重要性.
科学领域:
- 整形外科手术 整形外科手术
- 公共卫生 公共卫生
背景情况:
- 吸烟是骨科手术并发症的一个已知的危险因素.
- 吸烟对开放的手腕道释放结果的具体影响仍未得到充分研究.
研究的目的:
- 为了研究吸烟状态和手术结果之间的关系,在接受开放的手腕道释放的患者中.
- 为了比较吸烟者与非吸烟者之间的手术后疼痛,手腕硬,伤口愈合和感染率.
主要方法:
- 对131名接受开放性手腕道释放的患者的回顾性图表审查.
- 患者被分为吸烟者 (n=58) 和非吸烟者 (n=73).
- 统计分析包括千平方和费舍尔精确测试.
主要成果:
- 与非吸烟者相比,吸烟者表现出明显更高的感染率,术后麻木和手腕硬.
- 吸烟者在2周和6周报告了术后疼痛增加.
- 非吸烟者更有可能在6周内完全缓解疼痛.
结论:
- 吸烟与较差的手术结果和手腕道释放中的并发症有关.
- 潜在的机制包括吸烟引起的免疫抑制和受损的伤口愈合.
- 建议在手术前戒烟,以改善患者的康复和手术成功.
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