文章摘要
田薇,粟莉.腰部骨科固定支架在腰椎后路减压融合内固定术后的康复应用.骨科,2021,12(6): 555-558.
腰部骨科固定支架在腰椎后路减压融合内固定术后的康复应用
Application of Lumbar Orthopedic Fixation Stent in Patients Undergoing Posterior Lumbar Decompression and Internal Fixation
投稿时间:2020-09-01  
DOI:10.3969/j.issn.1674-8573.2021.06.014
中文关键词: 腰部骨科固定支架  腰椎后路减压融合内固定术  康复  疗效
英文关键词: Lumbar orthopedic fixation stent  Lumbar posterior decompression and internal fixation  Rehabilitation  Curative effect
基金项目:
作者单位E-mail
田薇 华中科技大学同济医学院附属同济医院骨科武汉 430030  
粟莉 华中科技大学同济医学院附属同济医院骨科武汉 430030 897366147@qq.com 
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中文摘要:
      目的 探讨腰部骨科固定支架在腰椎后路减压融合内固定术后康复应用的疗效。方法 选取2019年1月至12月在我科接受腰椎后路减压融合内固定术治疗的腰椎间盘突出症病人122例,将2019年1月至6月术后佩戴腰围治疗的61病人纳入对照组;2019年7月至12月术后佩戴腰部骨科固定支架治疗的61病人纳入观察组。采用简明健康状况调查表(SF-36)评分、疼痛视觉模拟评分(VAS)和日本骨科协会(JOA)、舒适状况量表(GCQ)评估病人术后的生活质量、疼痛、腰部功能和舒适情况,并观察两组不良反应情况。结果 干预后,观察组的SF-36评分、VAS评分和JOA评分均优于对照组,差异均有统计学意义(P均<0.05);观察组的GCQ从生理、心理、社会文化和环境方面得分都要高于对照组,差异具有统计学意义(P<0.05)。结论 医用腰围与腰部骨科固定支架均可提高病人术后康复的疗效,但腰部骨科固定支具在舒适度、透气性方面表现更佳,明显改善病人生活质量,使病人更易接受并坚持佩戴,并有助于病人术后腰部功能恢复。
英文摘要:
      Objective To investigate the effect of lumbar orthopedic fixation stent on lumbar posterior decompression and internal fixation. Methods A total of 122 patients with lumbar disc herniation who received posterior lumbar decompression, fusion and internal fixation in our department from January to December 2019 were selected, and 61 patients who wore waist circumference treatment from January to June 2019 were included in the control group. From July to December 2019, 61 patients who were treated with lumbar orthopedic fixation stent after operation were included in the observation group. The recovery of quality of life, pain, functional recovery and comfort were evaluated by brief health status questionnaire (SF-36), pain visual analogue scale (VAS), Japanese Orthopaedic Association (JOA) and Comfort Scale (GCQ), and the adverse reactions of the two groups were observed. Results After the intervention, the SF-36 score, VAS score and JOA score in the observation group were better than those in the control group (all P<0.05). The GCQ scores in the observation group in physiology, psychology, social culture and environment were higher than those in the control group, and the difference was statistically significant (P<0.05). Conclusion Both medical waist circumference and lumbar orthopaedic fixed support can improve the curative effect of postoperative rehabilitation, but lumbar orthopaedic fixed support performs better in comfort and air permeability, significantly improves the quality of life of patients, makes patients easier to accept and adhere to wear, and contributes to the recovery of postoperative lumbar function.
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