A Study for QOL and Surgical Incision Pain in Patients Undergoing Totally Thoracoscopic Combined Aortic and Mitral Valve Replacement Surgery.

IF 0.7 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Heart Surgery Forum Pub Date : 2023-05-28 DOI:10.1532/hsf.5411
Zheng Xu, Hanyu Wang, Wei Wang, Xiaofu Dai
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Abstract

Background: In recent years, based on traditional median sternotomy surgery, totally thoracoscopic for aortic and mitral valve replacement surgery is increasingly being performed despite little published evidence. This study investigated postoperative pain and short-term quality of life (QOL) of patients undergoing double valve replacement surgery.

Methods: From November 2021 to December 2022, 141 patients with double valvular heart disease who underwent thoracoscopic group (N = 62) and median sternotomy group (N = 79) were included. Clinical data were recorded, and a visual analog scale (VAS) was used to measure postoperative pain intensity. The medical outcomes study (MOS) 36-item Short-Form Health Survey assessed short-term QOL after surgery.

Results: Sixty-two patients underwent total thoracic double valve replacement, and 79 patients underwent median sternotomy double valve replacement. Both groups were similar in terms of demographics and general clinical data, as well as the incidence of postoperative adverse events. The VAS scores of the thoracoscopic group were lower than those in the median sternotomy group. The hospital stay time was significantly shorter in the thoracoscopic group than in the median sternotomy group (30.2 ± 12 days vs. 36 ± 19 days, p = 0.03). The scores of bodily pains and some of the subscales in SF-36 were significantly different between the two groups (p < 0.05).

Conclusions: Thoracoscopic combined aortic and mitral valve replacement surgery can reduce postoperative pain and improve short-term postoperative QOL, which has specific clinical application value.

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全胸腔镜主动脉二尖瓣置换术患者生活质量及手术切口疼痛的研究。
背景:近年来,在传统胸骨正中切口手术的基础上,全胸腔镜下主动脉瓣和二尖瓣置换术越来越多地被采用,尽管很少有发表的证据。本研究探讨双瓣膜置换术患者术后疼痛及短期生活质量(QOL)。方法:选取2021年11月至2022年12月行胸腔镜组(N = 62)和胸骨正中切开组(N = 79)的双瓣膜性心脏病患者141例。记录临床资料,采用视觉模拟量表(VAS)测量术后疼痛强度。医疗结果研究(MOS) 36项短期健康调查评估手术后的短期生活质量。结果:62例患者行全胸双瓣置换术,79例行胸骨正中切口双瓣置换术。两组在人口统计学和一般临床数据以及术后不良事件发生率方面相似。胸腔镜组VAS评分低于胸骨正中切开组。胸腔镜组住院时间明显短于胸骨正中切开组(30.2±12天比36±19天,p = 0.03)。两组在SF-36中躯体疼痛及部分分量表得分差异有统计学意义(p < 0.05)。结论:胸腔镜下主动脉二尖瓣联合置换术可减轻术后疼痛,提高术后短期生活质量,具有特定的临床应用价值。
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来源期刊
Heart Surgery Forum
Heart Surgery Forum 医学-外科
CiteScore
1.20
自引率
16.70%
发文量
130
审稿时长
6-12 weeks
期刊介绍: The Heart Surgery Forum® is an international peer-reviewed, open access journal seeking original investigative and clinical work on any subject germane to the science or practice of modern cardiac care. The HSF publishes original scientific reports, collective reviews, case reports, editorials, and letters to the editor. New manuscripts are reviewed by reviewers for originality, content, relevancy and adherence to scientific principles in a double-blind process. The HSF features a streamlined submission and peer review process with an anticipated completion time of 30 to 60 days from the date of receipt of the original manuscript. Authors are encouraged to submit full color images and video that will be included in the web version of the journal at no charge.
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