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| 卡莱罗纳舒适评分和衰弱指标在老年男性腹股沟疝患者不同术式评估中的应用 |
| Application of the Carolina comfort score and weakness index in evaluating different surgical approachs for elderly male patients with inguinal hernia |
| 投稿时间：2026-02-26 |
| DOI：10.3969/j.issn.1000-0399.2026.05.002 |
| 中文关键词: 生活质量 衰弱 腹股沟疝 腹腔镜下经腹腔腹膜前疝修补术 开放式单纯平片修补术 疗效 |
| 英文关键词: Quality of life Weakness Inguinal hernia Surgical approach Efficacy |
| 基金项目:安徽省高校自然科学研究项目(编号:2023AH053306); 合肥市卫生健康委应用医学科研项目(编号:Hwk2023zc014) |
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| 中文摘要: |
| 目的 评估两种不同术式，腹腔镜下经腹腔腹膜前疝修补术（TAPP术）和开放式单纯平片修补术（Lichtenstein术），对老年男性腹股沟疝患者近远期生活质量和衰弱的影响。方法 选取2020年1月至2022年6月安徽医科大学第一附属医院东城院区收治的105例老年男性腹股沟疝患者作为研究对象，按照术式不同，分为观察组（n=53）和对照组（n=52），观察组行TAPP术，对照组行Lichtenstein术。采用欧洲五维度五水平健康量表（EQ-5D-5L）、健康描述系统及视觉模拟标尺量表（EQ-VAS）、卡莱罗纳舒适评分和格罗宁根衰弱指标进行评估，统计两组患者围手术期生活质量、衰弱及手术相关指标并进行比较。结果 观察组住院时间、出血量、术后下床时间、术后疼痛评分均低于对照组（P<0.05）；观察组术后各时间点EQ-5D-5L及EQ-VAS生活质量评分均优于对照组（P<0.05），术后第6个月、术后第1年和术后第2年格罗宁根衰弱评分低于对照组（P<0.05）；卡莱罗纳舒适评分在术后第6个月比较，两组差异有统计学意义（P<0.05），术后第1年及术后第2年比较差异无统计学意义（P>0.05）。结论 卡莱罗纳舒适评分和衰弱指标可很好区分不同术式对老年男性腹股沟疝患者生活质量的影响；TAPP术患者围手术期指标和近远期生活质量优于Lichtenstein术，但对患者近期衰弱和远期腹股沟区舒适度无明显影响。 |
| 英文摘要: |
| Objective To evaluate the effects of two different surgical approachs(TAPP and Lichtenstein) on short-term and longterm quality of life and frailty for elderly male patients with inguinal hernia. Methods A total of 105 elderly male patients with inguinal hernia admitted to our hospital from January 2020 to June 2022 were selected as the study subjects and divided into the observation group(n=53) and control group(n=52). The observation group underwent TAPP, and the control group underwent Lichtenstein. EQ-5D-5L and EQ-VAS quality of life score, Carolinas Comfort Scale and Groningen Frailty Index were used to evaluate the perioperative quality of life, frailty and surgery-related indicators of the two groups. Results The hospitalization time, bleeding volume, postoperative ambulation time and postoperative pain score of the observation group were significantly lower than those of the control group(P<0.05). The EQ-5D-5L and EQ-VAS quality of life scores of the observation group were better than those of the control group at various time points after surgery(P<0.05), and the Groningen frailty scores of the observation group were significantly lower than those of the control group at six months, one year, and two years after surgery(P<0.05). There was a difference in the comfort score between the two groups within six months after surgery(P<0.05), and there was no significant difference at the time points of 1 and 2 years after surgery(P>0.05). Conclusion TThe Carolina Comfort Score and frailty index can effectively distinguish the impact of different surgical procedures on the quality of life of elderly male patients with inguinal hernia. The perioperative indicators and short term and long-term life quality of patients undergoing TAPP surgery are better than those undergoing Lichtenstein surgery, but there is no significant difference in the impact on short-term weakness and long-term comfort of the inguinal area between the two groups. |
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