上肢功能障碍与手术后六个月的疼痛之间的关联在侧面脊髓炎的迷你开放性突切除术后:一项回顾性横截面研究
Kazuyo Tsukamoto1,2, Yuki Hiraga3,4, Takamichi Taniguchi5
1Department of Occupational Therapy, International University of Health and Welfare Graduate School, Fukuoka, JPN.
Cureus
|February 20, 2026
概括
经过侧面表皮质炎手术后的术后疼痛与患者报告的残疾有关,而不是握力. 患者报告的结果是识别侧面表皮质炎 (LE) 恢复中持续疼痛风险的关键.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 康复医学 康复医学 康复医学
背景情况:
- 耐火侧面表皮质炎 (LE) 通常需要手术干预.
- 手术后上肢功能障碍对LE手术后慢性疼痛的影响尚不清楚.
研究的目的:
- 为了研究手术后上肢功能障碍和疼痛强度之间的联系,在LE的迷你开放性协同切除术后六个月.
主要方法:
- 对28名患者进行了回顾性,横截面的研究,这些患者接受了LE的迷你开放性突切除术.
- 疼痛通过11点数值评分表 (NRS) 进行评估;功能使用患者评级肘部结果测量日本版本 (PREE-J),JOA肘部得分,握力和运动范围 (ROM) 进行评估.
- 使用单变量和多变量线性回归分析来评估功能测量和疼痛强度之间的关联.
主要成果:
- PREE-J得分与六个月疼痛强度 (NRS) 独立相关.
- 握力与疼痛强度没有显著的关联.
- 回归模型解释了50%的疼痛强度变异,而没有多线性.
结论:
- 六个月后的术后疼痛与LE手术后患者报告的残疾 (PREE-J) 独立相关,而不是握力.
- 主观功能障碍可能更好地反映了手术后的疼痛负担,而不是孤立的机械措施.
- 包括PREE-J在内的综合功能评估可以帮助识别患有持续疼痛风险的患者,并指导个性化康复.
相关概念视频
Blood and Nerve Supply to the Bones
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...


