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术后患者报告的结果与部功能表现在退行性宫骨髓病的相关性

Harshit Arora¹, Hassan Darabi¹, Vishwajeet Singh¹

¹Department of Neurosurgery, University of Kentucky College of Medicine, Lexington, KY, United States.

North American Spine Society journal

|February 27, 2026

概括

退行性宫肌病 (DCM) 患者在手术后显示出改善的生活质量,上肢功能更好与自我报告的结果相关. 本研究为DCM-72得分确定了临床重要差异 (MCID) 的最小值,以帮助评估恢复.

科学领域:

脊髓外科手术脊髓外科手术
神经学神经学
整形外科整形外科整形外科

背景情况:

退行性宫髓病 (DCM) 是由慢性宫脊髓压缩引起的,导致上肢功能障碍,失衡和膀问题.
患者报告的结果指标 (PROMs),如mJOA,Nurick,NDI和DCM-72,用于疾病分层.
需要在DCM中将主观患者报告与客观功能评估相关联.

研究的目的:

评估DCM患者的自我报告措施和客观上肢评估之间的临床相关性.
在患有DCM的个体中推导DCM-72问卷的临床重要差异最小值 (MCID).

主要方法:

一项前性,两中心的研究包括99名DCM患者和34名对照,在手术前和手术后6个月和12个月评估.
进行了全面的上肢评估 (灵巧度,感觉,力量) 和PROMs.
统计分析检查了PROM进展和与功能评估的相关性,p < .05被认为是显著的.

主要成果:

在术后的mJOA,NDI,Nurick和PROMIS-10物理分数中观察到显著的改善.
上肢功能指标与自我报告的结果有很强的相关性,表明生活质量有所改善.
使用mJOA作为,DCM-72的MCID值在6个月后大约为1.44 (轻度),3.20 (中度) 和6.92 (严重).

结论:

DCM患者在自我报告的结果中经历了显著的术后益处,与改善的上肢功能密切相关.
导出DCM-72 MCID值为评估DCM治疗后功能恢复提供了临床上有意义的基准.

关键词:

宫性骨髓病变是一种宫性骨髓病变.部残疾指数指数部残疾指数护士护士是一个护士.这就是PROMIS-10的意义.疼痛疼痛疼痛疼痛患者报告的结果衡量患者报告的结果.mJOAAA 这是一个很好的例子.

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