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宫干细胞病变手术后恢复工作:来自瑞典全国3929名患者队列的前性数据
Victor Gabriel El-Hajj1, Marcus Roland Victor Gustafsson1, Mateo Tomás Fariña Núñez2,3
1Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
85%的宫基因病患者经过手术治疗,一年内恢复工作. 不能返回工作的预测因素包括年龄较大,体力苛刻的工作,以及症状持续时间较长.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 职业健康 职业健康 职业健康
背景情况:
- 宫干细胞病变通常需要手术减压以缓解症状和功能恢复.
- 有限的研究存在于回归工作 (RTW) 后椎脊椎手术后的结果.
研究的目的:
- 为了分析为宫干细胞病变进行手术的患者的RTW结果.
- 在这个患者群体中识别阻碍RTW的预测因素.
主要方法:
- 使用瑞典脊柱登记处进行全国性队列分析.
- 包括具有1年术后结局数据的患者,重点关注RTW率.
- 后勤回归模型用于确定RTW的预测因素.
主要成果:
- 在3929名患者中,有85%的患者在手术后1年内恢复工作 (67%是全职,18%是兼职).
- 与RTW可能性降低相关的因素包括较高的年龄,之前的手术,高工作强度,手术前全职病假,较长的手臂疼痛持续时间,较高的部残疾指数和较低的EuroQOL 5分数.
结论:
- 绝大多数 (85%) 的患者在宫干细胞病变手术后的一年内达到RTW.
- 老年,体力苛刻的职业,长期的手臂疼痛和更高的手术前残疾对RTW产生负面影响.
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