急性脊髓损伤手术干预时机对神经功能恢复的影响

目的:探究急性脊髓损伤手术干预时机对神经功能恢复的影响。方法:选取2018年11月至2020年5月在郑州大学第五附属医院接受治疗的急性脊髓损伤患者78例,依据手术干预时机不同分为早期手术组(39例)和晚期手术组(39例)。其中早期手术组于损伤后24 h内进行手术,晚期手术组于损伤后24 h后进行手术。比较两组患者神经功能评分(轻触觉评分、针刺痛觉评分、运动评分)及生活质量评分。结果:两组患者治疗后轻触觉评分、针刺痛觉评分、运动评分等神经功能评分较治疗前均明显升高,且早期手术组明显高于晚期手术组,差异均具有统计学意义(P<0.05);早期手术组治疗后社会生活、日常生活、焦虑、抑郁等生活质量评分均明显低于晚期手术组,差异具有统计学意义(P<0.05)。结论:急性脊髓损伤进行早期手术干预对患者神经功能恢复更加有利,还能有效改善患者生活质量。

Effect of Surgical Intervention Time on Recovery of Neurological Function in Patients with Acute Spinal Cord Injury

Objective To explore the effect of surgical intervention time on the recovery of neurological function in patients with acute spinal cord injury.Methods 78 patients with acute spinal cord injury who were treated in the Fifth Affiliated Hospital of Zhengzhou University from November 2018 to May 2020 were selected and divided into early surgery group(39 cases)and late surgery group(39 cases)according to the surgical intervention time.The early surgery group was operated within 24 hours after injury,and the late surgery group was operated after 24 hours after injury.The neurological function score(light touch score,acupuncture pain score,motor score)and quality of life of the two groups were compared.Results The light touch score,acupuncture pain score,motor score and other neurological function scores of the two groups after treatment were significantly higher than those before treatment,and the early surgery group was significantly higher than the late surgery group,the differences were statistically significant(P<0.05);the scores of social life,daily life,anxiety,depression and other quality of life of the early surgery group after treatment were significantly lower than those of the late surgery group.The difference was statistically significant(P<0.05).Conclusion Early surgical intervention for acute spinal cord injury is more beneficial to the recovery of patients’neurological function and can effectively improve the quality of life of patients.