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急性坏死性胰腺炎后的生活质量

Quality of life following acute necrotizing pancreatitis.

作者信息

Szentkereszty Zsolt, Agnes Czimbalmos, Kotán Róbert, Gulácsi Szilárd, Kerekes László, Nagy Zsolt, Czako Danie, Sápy Péter

机构信息

2nd Department of Surgery, University of Debrecen Medical and Health Science Center, School of Medicine Debrecen, Hungary.

出版信息

Hepatogastroenterology. 2004 Jul-Aug;51(58):1172-4.

Abstract

BACKGROUND/AIMS: The authors examine the quality of life of patients treated for acute necrotizing pancreatitis an average of 37.8 months following their illness.

METHODOLOGY

The questionnaire used in the examinations was a version of the Short Form-36 (SF-36) which was adapted to a Hungarian environment and included additional questions regarding the patient's illness. During the treatment of the pancreatic necrosis, prophylactic antibiotic treatment, early nasojejunal feeding, percutaneous peripancreatic drainage, and late surgical necrectomy was used. Postoperatively the lavage of the closed omental bursa was performed.

RESULTS

It was determined that 77.3% of patients considered their quality of life to be good or fair. Quality of life was considered worse in older patients, patients with complaints of abdominal distension and bowel problems, patients who had lost significant amounts of weight since their illness, patients with poor appetite, and patients who were female.

CONCLUSIONS

The long-term result, and the quality of life after acute necrotizing pancreatitis is good.

摘要

背景/目的:作者研究了急性坏死性胰腺炎患者在患病平均37.8个月后接受治疗的生活质量。

方法

检查中使用的问卷是短式36项健康调查简表(SF-36)的一个版本,该版本已根据匈牙利环境进行了调整,并包含了有关患者疾病的其他问题。在胰腺坏死治疗期间,采用了预防性抗生素治疗、早期鼻空肠喂养、经皮胰腺周围引流和晚期手术坏死组织切除术。术后对封闭的网膜囊进行灌洗。

结果

确定77.3%的患者认为他们的生活质量良好或尚可。老年患者、有腹胀和肠道问题主诉的患者、自患病以来体重显著减轻的患者、食欲不佳的患者以及女性患者的生活质量被认为较差。

结论

急性坏死性胰腺炎后的长期结果以及生活质量良好。

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