腰椎管狭窄症全脊柱内镜减压围手术期精准康复临床疗效

doi:10.3969/j.issn.1006-5725.2023.22.015

Abstract

Abstract:

Objective To explore the clinical efficacy of preoperative precise rehabilitation on endoscopic spinal decompression （Endo-LOVE） for lumbar spinal stenosis （LSS）. Methods A retrospective study was conducted among 52 patients with Endo-LOVE from January 2020 to April 2022. The patients were equally divided into observation group and control group， treated with precision rehabilitation and traditional rehabilitation according to the different rehabilitation patterns， respectively. The two groups were compared in terms of the score by Visual Analogue Scale （VAS）， Oswestry Disability Index （ODI） and JOA scores as well as the ratio of left and right supporting phases in gait parameters before the operation， 7 days and 3 months after the operation. Results There were no serious surgical complications in all patients. The VAS and ODI scores 7 days and 3 months after the operation were significantly lower （P < 0.05） and the JOA score and the ratio of left and right supporting phases were significantly higher than before the operation（P < 0.05）. The indexes of the observation group were statistically significantly different with those of the control group 7 days and 3 months after the operation （P < 0.05）. Conclusion Preoperative precise rehabilitation in Endo-LOVE for LSS can relieve postoperative residual pain， improve walking function， reduce the degree of lumbar dysfunction， improve the ability of daily living， and shorten the rehabilitation period. It is of value for clinical application.

Key words: lumbar spinal stenosis, precision rehabilitation, spinal endoscopic surgery, gait analysis

CLC Number:

R493

Rui CAO,Yu DING,Zhengcao LU,Yiwei. DING. Clinical efficacy of perioperative precision rehabilitation of total endoscopic spinal decompression for lumbar spinal stenosis[J]. The Journal of Practical Medicine, 2023, 39(22): 2946-2952.

Figures/Tables 8

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References 21

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指标	观察组（n = 26）	对照组（n = 26）	t值	P值
术前	5.46 ± 1.24	5.50 ± 1.03	0.329	0.906
术后第7天	1.69 ± 0.84^*	2.69 ± 1.29	192	0.002
术后3个月	0.42 ± 0.58^*▲	0.96 ± 0.53^▲	178	0.001

指标	观察组（n = 26）	对照组（n = 26）	t值	P值
术前	67.12 ± 10.12	66.38 ± 6.39	0.311	0.539
术后第7天	35.34 ± 1.92^*	36.58 ± 2.67	265	0.015
术后3个月	16.42 ± 2.02^*▲	17.30 ± 1.35^▲	255	0.037

指标	观察组（n = 26）	对照组（n = 26）	t值	P值
术前	13.42 ± 2.02	13.34 ± 1.59	0.152	0.731
术后第7天	20.42 ± 2.02^*	19.65 ± 1.29	1.633	0.019
术后3个月	24.34 ± 1.91^**▲	23.15 ± 1.46^▲	2.522	0.007

指标	观察组（n = 26）	对照组（n = 26）	t值	P值
术前	0.76 ± 0.06	0.77 ± 0.06	0.311	0604
术后第7天	0.89 ± 0.03^*	0.87 ± 0.05	1.766	0.014
术后3个月	0.98 ± 0.02^**▲	0.93 ± 0.06^▲	149	0.000

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Clinical efficacy of perioperative precision rehabilitation of total endoscopic spinal decompression for lumbar spinal stenosis

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