在选择性全关节整形术之前戒烟会导致术后持续的戒烟
Billy Insup Kim1, Jeffrey O'Donnell1, Colleen M Wixted2
1Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY 10021, United States.
World journal of orthopedics
|July 29, 2024
概括
在整关节整形术后近3年,43.2%的前吸烟者仍然戒烟. 保持禁烟改善了心理健康和关节置换结果,突出显示术后期是戒烟支持的关键.
科学领域:
- 整形外科手术 整形外科手术
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 烟草使用是与增加外科手术后并发症相关的重要,可修改的风险因素.
- 有效的术后戒烟干预措施对于改善患者在选择性手术中的结果至关重要.
研究的目的:
- 确定在全关节整形术 (TJA) 之前试图戒烟的患者的长期禁烟率.
- 评估持续戒烟对TJA后患者报告结果的影响.
主要方法:
- 88名自我报告的烟草使用者进行了TJA (2014-2022年) 的回顾性审查,在手术后3个月内尝试戒烟.
- 对37名参与者进行了电话调查,以收集有关烟草使用模式和患者报告结果的数据.
- 对长期戒断率的分析以及与功能和心理健康得分的相关性.
主要成果:
- 在平均2.9年的随访期间,43.2%的患者报告完全戒烟.
- 保持禁欲的患者表现出明显改善的心理健康 (PROMIS-10分数) 和部功能 (HOOS. 在JR的分数).
- 在禁酒队伍中没有报告任何假肢关节感染或修复手术.
结论:
- 很大一部分TJA患者可以长期戒烟,并获得显著的好处.
- 持续的外科手术期间戒烟与增强的精神健康和TJA后改善的功能恢复有关.
- 术后期为临床医生提供了一个关键的窗口来实施和支持戒烟,改善手术结果.
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