signature=d99aafe8dbfe0dcd8de88ddf7f9bbe33,POSTOPERATIVE QUALITY OF LIFE OF PATIENTS WITH INTRACRANI...-CSDN博客

研究探讨了脑膜瘤手术对患者术后生活质量的影响。通过对2011年至2012年间接受治疗的患者进行案例对照、横断面和描述性研究，发现手术显著影响了患者的生理和社交功能。尽管手术后30%的患者出现神经系统缺陷，但手术时间、肿瘤大小、病理级别和辛普森切除分级与生活质量的关系不明显。国际研究也证实，这些肿瘤对患者的身体和社会功能有显著影响，因此关注术后生理和心理干预以提高患者生活质量并促进社会融入至关重要。

摘要：

The present work aims to determine the influence of surgical procedures in patients with intracranial meningiomas and its impact on postoperative quality of life. To meet the objectives, a case-control, cross-sectional and descriptive study was designed. Patients diagnosed with intracranial meningioma treated at the General Hospital "Dr. Miguel Pérez Carreo "between January 2011 and June 2012. Apparently healthy people were selected as a control group, with no history of genetic or neurological disease, or smoking, in equal proportions by sex, with ages ranging from SD ± 2. I apply the SF-36 questionnaire. The data were compiled in the SPSS 20 program, where they were statistically analyzed, the student's t-test was used to establish the relationships with a p <0.05. 30 patients were studied with Sex: Male 8 (26.7%) Female 22 (73.3%), Age x = 48.1 ± 16.1 (r = 6-81) years, evolution time: x = 1073 , 62 ± 2802 (r = 24-13870) days, size: x: 46.5 ± 47.4 (r = 12-199.7) cm3, 27 (90%) grade I and 3 (10%) grade II WHO, Duration of surgery x = 4.2 ± 1.3 (r = 2-7) hours, according to degree of Simpson recession: 8 (26.7%) grade 0, 14 (46.7%) grade 1, 4 (13.3%) grade 3 and 3 (10%) grade 4. 9 (30%) presented postoperative neurological deficit. In the SF-36 questionnaire there were differences between patients and controls in 3 dimensions: physical function 41.37 ± 39.56 controls 66.66 ± 33.04 (p = 0.010), physical role 52.59 ± 48.34 controls 79 , 17 ± 37.76 (p = 0.022), social function 69.40 ± 30.91 controls 87.5 ± 18.57 (p = 0.008). No relationship was found between evolution time, size, histological grade, Simpson's grade on its impact on quality of life. As in international studies, the presence of these tumors significantly affect physical and social functions, which is why it is worth monitoring the physiological and psychological intervention of patients in the postoperative period, thus increasing their quality of life and integration into society.

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