术前运动衰弱对手术后临床结果的影响,在接受宫椎间盘置换的患者中
Andrea M Roca1, Fatima N Anwar1, Srinath S Medakkar1
1Department of Orthopaedic Surgery, Rush University Medical Center.
Clinical spine surgery
|July 1, 2024
概括
在宫椎盘置换 (CDR) 患者的手术前运动弱势没有对结果产生负面影响. 弱势患者在多个患者报告的结果测量 (PROM) 中实现了临床重要差异最小值 (MCID),显示出显著的改善.
科学领域:
- 神经外科 神经外科
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
背景情况:
- 有限的研究存在于手术前的运动软弱和宫椎盘置换 (CDR) 后的结果.
- 了解这种关系对于管理患者期望和手术规划至关重要.
研究的目的:
- 调查手术前运动衰弱对接受CDR的患者临床结果的影响.
- 为了比较患者报告的结果测量 (PROMs) 患者和没有手术前运动弱的患者.
主要方法:
- 对118名接受CDR的患者的回顾性审查,分为有或没有上肢运动软弱的队列.
- 使用推断统计数据,比较人口统计,外科期间的特征和PROM (VAS-N,PROMIS-PF,VAS-A,SF-12 PCS/MCS,NDI).
- 使用多变量逻辑回归分析,对手术后1年内PROM患者的临床重要差异最小值 (MCID) 实现的分析.
主要成果:
- 队列之间总体PROM没有显著差异.
- 运动衰弱的患者在6-12周的PROMIS-PF中实现了显著的MCID,在6个月的SF-12PCS,在最后的随访中VAS-N,在最后的随访中NDI.
- 甲状腺狭窄症在运动弱小队列中更为常见.
结论:
- 在CDR患者中,术前运动弱与多种PROM的显著改善有关,包括身体功能,疼痛和残疾.
- 运动弱的患者在手术后6周就在心理健康和残疾方面出现了显著的改善.
- 运动软弱不应被视为宫盘置换后不良结果的指标.
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