Abstract：
This study examines the relationship between smoking status and surgical outcomes in open carpal tunnel release. Smoking status has previously been correlated with orthopedic surgical complications unless smoking cessation occurs at least 4 weeks prior to surgery; however, the effect of smoking on open carpal tunnel release has not been specifically examined.
This study is a retrospective review of patient charts over the last 5 years (n = 131). Smoking status was determined at the time of carpal tunnel release from the patients\' charts. Patients were dichotomized as smokers (n = 58) or non-smokers (n = 73). Data comprised preoperative pain, postoperative pain at 2 and 6 weeks, postoperative wrist stiffness, wound healing time, and infection status. Data were compared on chi square, Fisher exact, and one-sided Fisher exact tests.
Infection rates were significantly higher in smokers. Postoperative numbness and wrist stiffness were also significantly higher in smokers. Smokers reported higher postoperative pain scores at 2 and 6 weeks. Non-smokers were also significantly more likely to report complete pain resolution at 6 weeks.
In the present study smoking was associated with surgical outcome complications in open carpal tunnel release. This could be attributed to immune system suppression or to poor wound healing, both of which are known side-effects of smoking. Pain scores 6 weeks post-surgery were significantly higher in smokers than in non-smokers. Smokers undergoing open carpal tunnel release need to understand the risk of surgical complications and should consider smoking cessation to optimize their chances of successful surgery.
Patients who were active smokers showed poorer recovery from open carpal tunnel surgery than non-smoking patients.
This study is a retrospective review of patient charts over the last 5 years (n = 131). Smoking status was determined at the time of carpal tunnel release from the patients\' charts. Patients were dichotomized as smokers (n = 58) or non-smokers (n = 73). Data comprised preoperative pain, postoperative pain at 2 and 6 weeks, postoperative wrist stiffness, wound healing time, and infection status. Data were compared on chi square, Fisher exact, and one-sided Fisher exact tests.
Infection rates were significantly higher in smokers. Postoperative numbness and wrist stiffness were also significantly higher in smokers. Smokers reported higher postoperative pain scores at 2 and 6 weeks. Non-smokers were also significantly more likely to report complete pain resolution at 6 weeks.
In the present study smoking was associated with surgical outcome complications in open carpal tunnel release. This could be attributed to immune system suppression or to poor wound healing, both of which are known side-effects of smoking. Pain scores 6 weeks post-surgery were significantly higher in smokers than in non-smokers. Smokers undergoing open carpal tunnel release need to understand the risk of surgical complications and should consider smoking cessation to optimize their chances of successful surgery.
Patients who were active smokers showed poorer recovery from open carpal tunnel surgery than non-smoking patients.
摘要：
背景：本研究探讨了开放性腕管松解术中吸烟状况与手术结果之间的关系。吸烟状况以前与骨科手术并发症相关，除非在手术前至少4周戒烟；然而，吸烟对开放式腕管松解术的影响尚未得到具体研究。
方法：本研究是对过去5年（n=131）患者图表的回顾性分析。在从患者图表中释放腕管时确定吸烟状况。将患者分为吸烟者（n=58）或非吸烟者（n=73）。数据包括术前疼痛，术后2周和6周疼痛，术后腕关节僵硬,伤口愈合时间,和感染状况。数据在卡方上进行比较，费希尔确切,和单边费希尔精确检验。
结果：吸烟者的感染率明显较高。吸烟者术后麻木和腕部僵硬也明显较高。吸烟者报告术后2周和6周疼痛评分较高。非吸烟者在6周时也更有可能报告疼痛完全消退。
结论：在本研究中，吸烟与开放性腕管松解术的手术结果并发症相关。这可能归因于免疫系统抑制或伤口愈合不良，这两种都是已知的吸烟副作用。吸烟者术后6周疼痛评分明显高于非吸烟者。接受开放式腕管松解术的吸烟者需要了解手术并发症的风险，并应考虑戒烟以优化手术成功的机会。
结论：积极吸烟的患者与不吸烟的患者相比，从开放腕管手术中恢复较差。
方法：本研究是对过去5年（n=131）患者图表的回顾性分析。在从患者图表中释放腕管时确定吸烟状况。将患者分为吸烟者（n=58）或非吸烟者（n=73）。数据包括术前疼痛，术后2周和6周疼痛，术后腕关节僵硬,伤口愈合时间,和感染状况。数据在卡方上进行比较，费希尔确切,和单边费希尔精确检验。
结果：吸烟者的感染率明显较高。吸烟者术后麻木和腕部僵硬也明显较高。吸烟者报告术后2周和6周疼痛评分较高。非吸烟者在6周时也更有可能报告疼痛完全消退。
结论：在本研究中，吸烟与开放性腕管松解术的手术结果并发症相关。这可能归因于免疫系统抑制或伤口愈合不良，这两种都是已知的吸烟副作用。吸烟者术后6周疼痛评分明显高于非吸烟者。接受开放式腕管松解术的吸烟者需要了解手术并发症的风险，并应考虑戒烟以优化手术成功的机会。
结论：积极吸烟的患者与不吸烟的患者相比，从开放腕管手术中恢复较差。
