Kvalita života u pacientů s Crohnovou chorobou po střevní resekci – první výsledky

English version

Autoři: L. Kunovsky ¹; Z. Kala ¹; L. Mitas ¹; Jiří Dolina ² ; V. Can ¹; L. Kucerova ²; V. Jadczakova ³; I. Penka ¹
Působiště autorů: Department of Surgery, University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University Head of Department: prof. Z. Kala, M. D., Ph. D. ¹; Department of Gastroenterology, University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University Head of Department: prof. A. Hep, M. D., Ph. D. ²; Department of Applied Statistics and Demography, Faculty of International Development and International Studies Mendel University in Brno Head of Department: assoc. prof. Ing. K. Somerlikova, Ph. D. ³
Vyšlo v časopise: Rozhl. Chir., 2016, roč. 95, č. 12, s. 444-448.
Kategorie: Původní práce

Souhrn

Úvod:
Crohnova choroba značně ovlivňuje kvalitu života u pacientů trpících touto chorobou. Cílem naší studie bylo zjistit, jaký vliv má chirurgické řešení na kvalitu života u pacientů s Crohnovou chorobou a určit faktory, které pooperační kvalitu života ovlivňují.

Metody:
90 pacientů s Crohnovou chorobou, kteří na našem pracovišti podstoupili resekci střeva, vyplnili v předoperačním a pooperačním období dotazník kvality života EORTC QLQ-CR29.

Výsledky:
U 77 % pacientů bylo zjištěno zlepšení kvality života (p<0.001), u 22 % pacientů zhoršení a u 11 % pacientů nebyla zjištěna změna.

Závěr:
V našem souboru operovaných pacientů s Crohnovou chorobou jsme prokázali, že chirurgická léčba zvyšuje jejich celkovou kvalitu života. K určení faktorů, které ovlivňují pooperační kvalitu života, je zapotřebí soubor s větším počtem pacientů.

Klíčová slova:
Crohnova choroba – kvalita života – chirurgie – resekce střeva – česká kohorta

Zdroje

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