患者报告的腹部破裂的后果
Madeline Kvist1,2, Thomas Korgaard Jensen1,2, Dunja Kokotovic1,2
1Department of Gastrointestinal and Hepatic Diseases, Copenhagen University Hospital - Herlev and Gentofte.
Danish medical journal
|November 28, 2025
概括
在紧急腹腔切除术后经历腹部破裂的患者报告了与健康相关的生活质量 (HRQoL) 的降低. 这种并发症在短期内显著影响日常活动,自我护理和移动性.
科学领域:
- 手术并发症 手术并发症
- 患者报告的结果
- 与健康相关的生活质量 (HRQoL)
背景情况:
- 腹部破裂是紧急腹腔切除术后的一种严重并发症,增加死亡,发病率,切口和身体形象下降的风险.
- 没有先前的研究已经调查了与健康相关的生活质量 (HRQoL) 在患有腹部爆裂的患者.
研究的目的:
- 通过HRQoL测量来调查和描述患者报告的腹部破裂的后果.
- 评估腹部破裂在紧急腹腔切除术后对患者幸福感的影响.
主要方法:
- 对281名接受紧急腹腔切除术的患者进行前性,观察性单中心队列研究.
- 记录了标准化腹壁关闭;HRQoL使用EuroQol5维5级问卷在多个术后时间点 (基线,4日,30,90日,180日) 评估.
主要成果:
- 15名患者 (5.3%) 经历了腹部爆裂.
- 与没有腹部爆裂的患者相比,在第30天的HRQoL显著降低 (46.7%vs25.2%;p=0.035).
- 爆发腹部患者的HRQoL降低归因于对通常活动,自我护理和移动性的负面影响.
结论:
- 在紧急腹腔切除术后腹部破裂会导致患者的生活质量短期下降.
- 腹部破裂的患者报告说,手术后通常的活动,自我护理和移动性增加了困难.
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