腰椎管狭窄症穹顶形减压术后早期下床活动对其疗效的影响

目的研究腰椎管狭窄症行穹顶形开窗减压术后2种不同时间下床活动对其疗效的影响,客观地获得下床活动的最佳时间。方法将80例采用穹顶形开窗减压术的腰椎管狭窄症患者随机分为实验组和对照组,各40例。实验组于术后第72 h、对照组于术后第10 d开始在腰围保护下下床活动,于术前、术后半年、术后一年对患者采用改良的日本骨科学会下腰痛评分法(简称M-JOA)进行评分,对两组的改善率进行比较。结果术后半年和术后一年,实验组与对照组的改善率差异均无统计学意义(P>0.01)。结论早期下床活动和晚期下床活动对近期疗效的影响均无差异,但早期下床活动可预防许多术后并发症,因此,应鼓励患者早期下床活动。

Study therapeutic effect of getting out of the bed early in Patients of Lumbar Spinal Stenosis with Domelike Decompression

Objective To choose the best time of off bed activities for patients of Lumbar Spinal Stenosis with Domelike decompression. Method 80 patients of Lumbar Spinal Stenosis with Domelike decompression were randomly divided into treatment group(40 cases) and control group(40cases).Getting out of bed with waistline was performed from the 72~(th) hour in treatment group and the 10~(th) day in control group after operation.Modify Japanese orthopedic association low back pain score(M-JOA) was used to evaluate two groups' original condition before operation and outcome in 6 months and 12 months after operation.Then the improvement rate can be contrasted between two groups.Result The improvement rate of two groups have no difference by the end of 6 months and 12 months(P>0.05).Conclusion Outcome between getting out of the bed early and late have no significant difference on the early therapeutic effect.Many complications can be prevented by getting out of the bed early,so it should be encouraged.