Becerro de Bengoa Vallejo Ricardo, López López Daniel, Palomo López Patricia, Soriano Medrano Alfredo, Morales Ponce Ángel, Losa Iglesias Marta Elena
Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain.
Research, Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, A Coruña, Spain.
Z Gerontol Geriatr. 2019 Dec;52(8):789-794. doi: 10.1007/s00391-019-01504-8. Epub 2019 Feb 1.
Patients of all ages can develop nail disorders, such as onychocryptosis, which are recurrent and painful conditions.
The aim of the study was to compare the quality of life in a group of aged patients with recurrent and painful ingrown toenails before and after chemical nail surgery to treat onychocryptosis.
The study design utilized a presurgery and a postsurgery questionnaire and examined prospective serial cases. The participants were drawn from an outpatient podiatric clinic from 1 January 2015 to 29 August 2016. The final sample of patients (>65 years old) underwent nail surgery with chemical matricectomy using phenol. In addition to the chemical nail surgical procedure, the patients completed the Manchester-Oxford Foot Questionnaire (MOXFQ) and the Borg CR-10 scale category ratio (CR) within 4 weeks prior to surgery. The patients completed both questionnaires again through mailing 3 months postsurgery.
Lower MOXFQ scores were noted after surgery, demonstrating an improvement in quality of life after chemical nail surgery. Men and women exhibited similar results (p > 0.05), with the exception of the Borg CR-10 scale where women reported more residual pain compared with men, with scores of 1.26 ± 1.65 and 0.09 ± 0.20, respectively (p = 0.011).
After a chemical nail surgery procedure, the quality of life improved in aged patients with recurrent and painful ingrown toenails.
各年龄段的患者均可出现指甲疾病，如嵌甲症，这是一种复发性且疼痛的病症。
本研究旨在比较一组患有复发性疼痛性嵌甲症的老年患者在化学指甲手术治疗嵌甲症前后的生活质量。
本研究设计采用术前和术后问卷，并对前瞻性系列病例进行检查。研究对象来自2015年1月1日至2016年8月29日的一家门诊足病诊所。最终样本为年龄大于65岁的患者，他们接受了使用苯酚进行化学甲床切除术的指甲手术。除了化学指甲手术外，患者在手术前4周内完成了曼彻斯特 - 牛津足部问卷（MOXFQ）和博格CR - 10量表类别比率（CR）。患者在术后3个月通过邮寄方式再次完成这两份问卷。
术后MOXFQ得分较低，表明化学指甲手术后生活质量有所改善。男性和女性的结果相似（p>0.05），但在博格CR - 10量表上，女性报告的残余疼痛比男性更多，分数分别为1.26±1.65和0.09±0.20（p = 0.011）。
对于患有复发性疼痛性嵌甲症的老年患者，化学指甲手术后生活质量得到改善。
