中国医学创新2023，Vol.20Issue(36)：154-159,6.DOI:10.3969/j.issn.1674-4985.2023.36.035
腰椎管狭窄症患者行单侧双通道内镜下手术后行走能力的影响因素分析
Analysis of Influencing Factors of Walking Ability in Patients with Lumbar Spinal Stenosis after Unilateral Dual-channel Endoscopic Surgery
摘要
Abstract
Objective:To investigate the influencing factors of walking ability in patients with lumbar spinal stenosis(LSS)who underwent unilateral dual-channel endoscopic decompression of the spinal canal.Method:A retrospective analysis was conducted on the clinical data of 80 patients with lumbar spinal stenosis who underwent unilateral dual-channel endoscopic spinal canal decompression surgery in the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from April 2021 to February 2022.The 6-minute walking distance(6MWD)was used to evaluate the walking ability of the patients after surgery(3 months),and the multiple linear regression model was used to screen the influencing factors of the postoperative walking ability of the patients.Result:There were no statistically significant differences in postoperative 6MWD among patients with different gender,height,place of residence,educational level,hypertension,preoperative visual analogue scale(VAS)score,smoking history,drinking history,and marital status(P>0.05).6MWD of patients with age≥60 years,weight≥130 kg,preoperative self rating depression scale(SDS)score>70 scores,with diabetes,operation time≥2 h,hospital stay≥10 d,postoperative functional exercise without exercise were significantly shorter than those with age<60 years,weight<130 kg,preoperative SDS score≤70 scores,no diabetes,operation time<2 h,hospital stay<10 d,postoperative functional exercise with exercise,the differences were statistically significant(P<0.05).The results of multiple linear regression analysis showed that age,body weight,preoperative SDS score,diabetes mellitus,operation time,hospital stay and postoperative functional exercise were all influencing factors on postoperative 6MWD in patients with lumbar spinal stenosis(P<0.05).Conclusion:Age≥60 years old,weight≥130 kg,preoperative SDS score>70 scores,history of diabetes,operation time≥2 h,hospitalization time≥10 d,and no functional exercise after operation are all postoperative walking ability of patients with lumbar spinal stenosis.During clinical treatment,medical staff can formulate individualized preventive intervention measures for controllable factors based on the above factors,which will help improve patients'postoperative walking ability and optimize patients'clinical efficacy.关键词
腰椎管狭窄症/单侧双通道内镜技术/术后行走能力/影响因素Key words
Lumbar spinal stenosis/Unilateral dual-channel endoscopic technique/Postoperative walking ability/Influencing factor引用本文复制引用
江摩,肖伟平,丁伦,况君,鲍杰伟,邱全河,邓兰..腰椎管狭窄症患者行单侧双通道内镜下手术后行走能力的影响因素分析[J].中国医学创新,2023,20(36):154-159,6.基金项目
江 西 省 卫 生 健 康 委 科 技 计 划 项 目(SKJP220210367) （SKJP220210367）
