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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >Nonclosure of the Peritoneum during Appendectomy May Cause Less Postoperative Pain: A Randomized, Double-Blind Study
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Nonclosure of the Peritoneum during Appendectomy May Cause Less Postoperative Pain: A Randomized, Double-Blind Study

机译：阑尾切除术中腹膜未闭合可减少术后疼痛：一项随机，双盲研究

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Objective. We aim to evaluate the effect of peritoneal closure on postoperative pain and life quality associated with open appendectomy operations. Methods. This is a single-center, prospective, randomized, and double-blinded study. Here, 18–65-year-old patients who underwent open appendectomy for acute appendicitis were included. Demographic data of the patients, operation time, length of hospital stay, pain scores using a 10 cm visual analogue scale (VAS) on the first postoperative day, quality of life assessment using the EuroQol-5D-5L questionnaire on postoperative 10th day, deep wound dehiscence, bowel obstruction, and mortality data were recorded. Results. In total, 112 patients were included in the study. The demographic data showed no significant difference between the groups. The median VAS score was lower in the group with open peritoneum, but this difference was not statistically significant (3 vs. 4, ). The duration of surgery was significantly shorter in the peritoneal nonclosure group (31.0?±?15.1 vs. 38.5?±?17.5?minutes, ). Overall complication rates and life quality test (EuroQol-5D-5L) results were similar between groups. Conclusion. Nonclosure of the peritoneum seems to shorten the duration of surgery without increasing complications during open appendectomy. Postoperative pain and life quality measures were not affected by nonclosure of the peritoneum. This trial is registered with NCT02803463.
机译：目的。我们的目的是评估腹膜闭合对开腹阑尾切除术相关术后疼痛和生活质量的影响。方法。这是一项单中心，前瞻性，随机和双盲研究。在这里，包括接受急性阑尾炎开腹阑尾切除术的18-65岁患者。患者的人口统计数据，手术时间，住院时间，术后第一天使用10 cm视觉模拟量表（VAS）的疼痛评分，术后第十天使用EuroQol-5D-5L调查表进行的生活质量评估，深记录伤口裂开，肠梗阻和死亡率数据。结果。总共有112名患者被纳入研究。人口统计数据显示两组之间无显着差异。腹膜开放组的中位VAS评分较低，但这种差异在统计学上没有统计学意义（3 vs. 4，）。腹膜非闭合组的手术时间显着缩短（31.0？±？15.1 vs. 38.5？±？17.5？分钟）。两组之间的总并发症发生率和生活质量测试（EuroQol-5D-5L）结果相似。结论。腹膜不闭合似乎可以缩短手术时间，而不会增加开放性阑尾切除术的并发症。腹膜未闭合不会影响术后疼痛和生活质量指标。该试用版已在NCT02803463中注册。

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