保守治疗粗胸部创伤的非常长期影响:回顾性分析
Indy Kelderman1, Chris Dickhoff2, Frank W Bloemers1
1Department of Surgery, Amsterdam University Medical Center Amsterdam, the Netherlands.
Injury
|March 8, 2024
概括
粗胸部创伤的长期后果很常见,许多患者在几年后会经历慢性疼痛和呼吸困难. 这些持续的症状显著影响了整体和与健康有关的生活质量.
科学领域:
- 创伤外科 手术 创伤外科
- 胸部外科手术 胸部外科手术
- 康复医学 康复医学 康复医学
背景情况:
- 形胸部创伤很常见,但保守治疗患者的长期结果尚未得到充分研究.
- 现有的文献缺乏关于胸部创伤的非手术治疗后慢性发病率的全面数据.
- 这项研究通过调查该患者队列中的长期后果来弥补这一差距.
研究的目的:
- 为了确定长期发病率,包括慢性胸痛和持续的呼吸短促,后的胸部创伤.
- 分析这些慢性症状对患者整体生活质量 (QoL) 和与健康相关的生活质量 (HRQoL) 的影响.
- 为了评估保守管理的粗胸部创伤对患者福祉的长期影响.
主要方法:
- 在1997年至2019年期间,对185名患者进行了回顾性分析,这些患者因 1997年至2019年间的突发胸部创伤而接受治疗.
- 使用问卷来评估当前的慢性胸痛,炼期间持续的呼吸短促,整体QOL和HRQoL.
- 分析了报告的疼痛和呼吸短促之间的相关性,以及它们对QoL和HRQoL的后续影响.
主要成果:
- 随访时间中位数为11年,显著部分患者的症状持续存在.
- 60%的人报告慢性疼痛,严重程度各不相同 (轻度,中度,严重).
- 18%的人在炼期间经历了持续的呼吸短促;这两种症状都没有随着时间的推移而改善,对QOL和HRQoL产生了负面影响.
结论:
- 慢性疼痛和呼吸短促在保守治疗的患者中,在的胸部创伤后很长一段时间内普遍存在.
- 这些持久的症状显著降低了整体和与健康有关的生活质量.
- 强调需要对这些患者进行长期跟踪和管理策略.
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