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腹腔镜治疗后使用腹带对术后恢复的影响(BELT):一项随机对照试验

Effect of Abdominal Binder after Laparoscopic Treatment on Postoperative Recovery (BELT): A Randomized Controlled Trial.

作者信息

Yang Haeree, Song Taejong

机构信息

Department of Obstetrics & Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea (all authors).

Department of Obstetrics & Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea (all authors)..

出版信息

J Minim Invasive Gynecol. 2020 May-Jun;27(4):854-859. doi: 10.1016/j.jmig.2019.06.021. Epub 2020 Jan 31.

Abstract

STUDY OBJECTIVE

To determine the effect of an abdominal binder on recovery after laparoscopic surgery in patients with gynecologic disease.

DESIGN

A randomized controlled trial.

SETTING

A university hospital.

PATIENTS

Patients scheduled for gynecologic laparoscopy were randomly assigned to the abdominal binder (n = 33) and control groups (n = 33).

INTERVENTIONS

Use of an abdominal binder after laparoscopic gynecologic surgery.

MEASUREMENTS AND MAIN RESULTS

Sixty-six patients scheduled for gynecologic laparoscopy between April and August 2018 were prospectively included in the abdominal binder after laparoscopic treatment (BELT) trial. The primary outcome measure was postoperative pain severity assessed using a visual analogue scale at 12, 24, and 48 hours after surgery. Secondary outcome measures included the ability to walk postoperatively, respiratory function, and degree of comfort, all assessed via the self-reported questionnaire at 48 hours after surgery. Baseline characteristics were similar in both groups. Postoperative pain scores did not significantly differ between groups. Postoperative walking and respiratory function were also statistically similar in both groups.

CONCLUSION

The use of an abdominal binder in patients after gynecologic laparoscopy did not enhance recovery in terms of pain, respiratory function, or physical activity.

摘要

研究目的

确定腹部束带对妇科疾病患者腹腔镜手术后恢复的影响。

设计

一项随机对照试验。

地点

一家大学医院。

患者

计划进行妇科腹腔镜手术的患者被随机分为腹部束带组(n = 33)和对照组(n = 33)。

干预措施

妇科腹腔镜手术后使用腹部束带。

测量指标及主要结果

2018年4月至8月计划进行妇科腹腔镜手术的66例患者前瞻性纳入腹腔镜治疗后腹部束带(BELT)试验。主要结局指标是术后12、24和48小时使用视觉模拟量表评估的术后疼痛严重程度。次要结局指标包括术后行走能力、呼吸功能和舒适度,均在术后48小时通过自我报告问卷进行评估。两组的基线特征相似。两组术后疼痛评分无显著差异。两组术后行走和呼吸功能在统计学上也相似。

结论

妇科腹腔镜手术后患者使用腹部束带在疼痛、呼吸功能或身体活动方面并未促进恢复。

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