复杂的切口修复后,生活质量是否有所改善? 一个系统的审查
D L C de Jong1,2, J A Wegdam3, E H M Berkvens3
1Department of Surgery, Elkerliek Hospital, Helmond, The Netherlands. dite.d.jong@catharinaziekenhuis.nl.
概括
复杂的切口的开放性手术在短期内显著改善了患者的生活质量 (QoL). 这一系统性审查证实了QOL的好处,强调了对长期结果进行更多研究的需要.
科学领域:
- 腹壁外科手术 腹壁外科手术
- 患者报告的结果
- 手术方面的创新.
背景情况:
- 与健康相关的生活质量 (QoL) 是腹壁手术的一个关键结果.
- 复杂的切口修复 (IHR) 结果需要进一步调查,特别是在QOL方面.
- 开放的外科手术方法是IHR后评估短期QOL的重点.
研究的目的:
- 系统审查和评估复杂的切口修复 (IHR) 后的短期生活质量 (QoL) 结果.
- 专注于开放外科手术技术对IHR后患者QOL的影响.
- 综合现有关于QoL在复杂的IHR后变化的证据.
主要方法:
- 对复杂的切口修复 (IHR) 的研究进行了多个数据库的系统搜索.
- 包括的研究使用验证的问卷评估了QoL,至少在术后三个月.
- 方法被分级,并提取患者的手术和结果细节.
主要成果:
- 其中包括7项涉及729名接受开放性IHR治疗的患者的研究.
- 所有研究都报告了各种验证问卷 (SF-36,卡罗来纳州舒适度表,带相关的QoL,数值评分表) 的QoL显著增加.
- 0.70的综合标准化平均差异 (SMD) 表明,与手术前得分相比,开放式手术对 QoL 的积极影响中等至大.
结论:
- 有限的研究已经测量了切割修复 (IHR) 后的QoL,但所有研究都显示了显著的术后改善.
- 开放式手术在复杂的IHR后改善患者的QOL方面显示出实质性的好处.
- 需要进一步的研究来规范QoL结果测量,并调查IHR的长期结果.
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