Baker D M, Turnbull N B, Pearson J C, Makin G S
Department of Vascular Surgery, University Hospital, Queens Medical Centre, Nottingham, U.K.
Eur J Vasc Endovasc Surg. 1995 Apr;9(3):299-304. doi: 10.1016/s1078-5884(05)80134-0.
Assessment of outcome after varicose vein surgery.
Prospective study using the Health Assessment Questionnaire (SF36) which considers different aspects of overall health.
University Hospital and Community.
150 patients undergoing varicose vein surgery.
SF36 questionnaires were sent pre-operatively and at 1 and 6 months post surgery.
Eighty-nine (59%) patients answered all three questionnaires. Pre-operatively their overall health was similar to that of the general population. The "cost" to the patient of the operation was demonstrated by an increased pain and reduced role function at 1 month post-operation (p < 0.01). By 6 months post-operation, when compared with preoperative values, all dimensions except social function and health perception were improved (p < 0.01). Overall symptoms improved (p < 0.01) by 1 month and were further improved at 6 months.
The general good health of varicose vein patients may justify the low priority given to their treatment, but the improvement in symptoms and general health that relatively simple surgery provides should ensure its continued provision as a health care service.
评估静脉曲张手术后的结果。
采用健康评估问卷（SF36）的前瞻性研究，该问卷考虑了总体健康的不同方面。
大学医院和社区。
150例接受静脉曲张手术的患者。
术前、术后1个月和6个月发送SF36问卷。
89例（59%）患者回答了所有三份问卷。术前他们的总体健康状况与普通人群相似。术后1个月疼痛加剧和角色功能下降表明了手术给患者带来的“代价”（p<0.01）。术后6个月，与术前值相比，除社会功能和健康感知外的所有维度均有所改善（p<0.01）。总体症状在术后1个月时有所改善（p<0.01），并在6个月时进一步改善。
静脉曲张患者总体健康状况良好可能说明其治疗优先级较低，但相对简单的手术所带来的症状改善和总体健康状况改善应确保其作为一种医疗服务继续提供。
