摘要
目的:研究脊柱创伤患者采用微创手术方式进行治疗的临床效果。方法:选择2019年6月—2022年6月在麻城市中医医院接受手术治疗的124例脊柱创伤患者作为研究对象,根据手术方式的不同将其分成对照组(n=62)和治疗组(n=62)。对照组采用传统开放手术进行治疗,治疗组采用微创手术进行治疗。对比两组Cobb’s角、前缘压缩高度、疼痛程度、心理状态、睡眠质量、治疗效果、术后并发症、手术期间出血量、操作时间、术后下床活动时间、术后疼痛消失时间、住院总时间、脊柱功能复常时间。结果:术后,两组Cobb’s角、前缘压缩高度均小于术前,且治疗组均小于对照组,差异均有统计学意义(P<0.05)。术后7 d,两组视觉模拟评分法(VAS)评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分及匹兹堡睡眠质量指数(PSQI)评分均低于术后3 d,且治疗组均低于对照组,差异均有统计学意义(P<0.05)。治疗组总有效率高于对照组,差异有统计学意义(P<0.05)。两组并发症发生率比较,差异有统计学意义(P<0.05)。治疗组手术期间出血量少于对照组,操作时间短于对照组,差异均有统计学意义(P<0.05)。治疗组操作时间、术后下床活动时间、术后疼痛消失时间、住院总时间、脊柱功能复常时间均短于对照组,差异均有统计学意义(P<0.05)。结论:脊柱创伤患者采用微创手术进行治疗,能积极改善脊柱状态和功能,迅速减轻疼痛,帮助患者保持良好心理和睡眠状态,减少术中出血量,降低术后并发症发生率,缩短手术操作时间和术后恢复时间,提升病情控制效果。
Objective:To study the clinical effect of minimally invasive surgery in the treatment of patients with spinal trauma.Method:A total of 124 patients with spinal trauma who received surgical treatment in Macheng Hospital of Traditional Chinese Medicine from June 2019 to June 2022 were selected as the study objects and divided into the control group(n=62)and the treatment group(n=62)according to different surgical methods.The control group was treated with traditional open surgical,the treatment group was treated with minimally invasive surgical.The Cobb's angle,anterior margin compression height,degree of pain,psychological status,sleep quality,treatment effect,postoperative complications,blood loss during surgery,operation time,postoperative ambulation time,disappearance time of postoperative pain,total length of hospital stay,and recurrence time of spinal function were compared between two groups.Result:After surgery,the Cobb's angle and the anterior edge compression height of two groups were smaller than those before surgery,and the treatment group were smaller than those of the control group,the differences were statistically significant(P<0.05).At 7 d after surgery,the visual analogue scale(VAS)scores,Hamilton anxiety scale(HAMA)scores,Hamilton depression scale(HAMD)scores,and Pittsburgh sleep quality index(PSQI)scores in two groups were lower than than those at 3 d after surgery,and the treatment group were lower than those of the control group,the differences were statistically significant(P<0.05).The total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was a statistically significant difference in the incidence of complications between two groups(P<0.05).The amount of bleeding during operation in the treatment group was less than that in the control group,and the operation time was shorter than that in the control group,the differences were statistically significant(P<0.05).The operation time,time of getting out
作者
王清
虞龙敏
吴术胜
WANG Qing;YU Longmin;WU Shusheng(Macheng Hospital of Traditional Chinese Medicine,Macheng 438300,China)
出处
《中外医学研究》
2023年第9期37-40,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
脊柱创伤
微创手术
Cobb’s角
前缘压缩高度
疼痛
心理
睡眠
Spinal trauma
Minimally invasive surgery
Cobb's angle
Leading edge compression height
Pain Psychology
Sleep
