Small W P, Cay E L, Dugard P, Sircus W, Falconer C W, Smith A N, McManus J P, Bruce J
Gut. 1969 Dec;10(12):996-1003. doi: 10.1136/gut.10.12.996.
Two groups of patients with chronic peptic ulcer were studied to determine the influence of duration of symptoms and age at operation on the result of surgical treatment. Independent physical and psychiatric assessments were made. Statistical analysis of the findings indicates that selection for operation by ;earning' is unreliable in that it fails to identify that group of patients liable to do badly. In its place, a combined physical and psychiatric preoperative assessment of the peptic ulcer patient is recommended.
对两组慢性消化性溃疡患者进行了研究,以确定症状持续时间和手术时年龄对手术治疗结果的影响。进行了独立的身体和精神评估。研究结果的统计分析表明,通过“经验”来选择手术患者是不可靠的,因为它无法识别出那些预后可能较差的患者群体。取而代之的是,建议对消化性溃疡患者进行术前身体和精神综合评估。