在前宫解压和融合后的残疾和疼痛:基于组的轨迹分析
Sara S Widbom-Kolhanen1, Katri I Pernaa2, Roosa E Lintuaho3
1Department of Surgery Satasairaala Hospital Sairaalantie 3 Pori 28500 Finland.
概括
经过前部解压和融合 (ACDF) 治疗的患者表现出不同程度的疼痛和残疾恢复. 女性性别和更长的手术前疼痛预测了ACDF后部和手臂疼痛的更糟糕结果.
科学领域:
- 脊柱手术的结果 脊柱手术的结果
- 患者的康复轨迹患者的康复轨迹
- 疼痛管理 疼痛管理
背景情况:
- 前宫解压和融合 (ACDF) 是一种常见的脊柱手术.
- 了解ACDF后患者的恢复模式对于管理期望和优化护理至关重要.
- 之前的研究还没有完全阐明ACDF后疼痛和残疾的不同轨迹.
研究的目的:
- 根据ACDF后疼痛和残疾的发育轨迹,识别出不同的患者群.
- 调查与这些不同的恢复模式相关的因素.
主要方法:
- 采用了基于组的轨迹分析.
- 分析了接受ACDF治疗的318名患者的数据.
主要成果:
- 确定了三个残疾轨迹:稳步良好运作,改善的运作和稳步不良的运作.
- 确定了三个部疼痛轨迹:疼痛恶化,疼痛缓解和稳步严重的疼痛.
- 确定了两种手臂疼痛轨迹:减少手臂疼痛和严重的手臂疼痛,只有短期缓解.
- 女性性别和更长的手术前疼痛持续时间与ACDF后严重部和手臂疼痛的可能性增加有关.
结论:
- 患者从ACDF中恢复是异质的,疼痛和残疾的轨迹不同.
- 虽然一些因素,如性别和手术前疼痛持续时间不会影响残疾改善,但它们与持续或严重的部和手臂疼痛有显著的相关性.
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