摘要
目的研究吸烟对老年腰椎间盘突出患者行经皮脊柱内镜下腰椎间盘摘除术(PELD)术后康复的影响。方法回顾性分析2020年9月至2022年9月于锦州医科大学附属第一医院骨脊柱科行PELD治疗的老年患者98例,根据患者是否吸烟,分为吸烟组57例和对照组41例。对两组患者的年龄、性别、体质量指数(BMI)、病程、手术节段、手术时间、手术入路、住院时间、围手术期并发症、术后12个月椎间隙高度和术后12个月内腰椎间盘突出复发情况及临床疗效进行比较分析。结果吸烟组与对照组的术前基本资料及围手术期治疗情况比较差异均无统计学意义(P>0.05)。吸烟组与对照组的复发率比较差异无统计学意义(P>0.05),但是吸烟组复发率(7.02%)远高于对照组(2.44%)。术后12个月时,对照组椎间隙高度为(9.19±1.25)mm,显著高于吸烟组的(8.69±0.67)mm,差异有统计学意义(P<0.05)。术前、术后各3个月吸烟组较对照组组间VAS评分、ODI指数、JOA评分的差异均无统计学意义(P>0.05),术后12个月对照组上述各项评分均优于吸烟组,差异有统计学意义(P<0.05)。结论吸烟可影响腰椎间盘突出症患者行PELD术后疗效康复的效果,为了获得更好的术后疗效,患者术后应戒烟。
Objective Study of the effect of smoking on postoperative rehabilitation after percutaneous endoscopic lumbar disc extraction for lumbar disc herniation in elderly people.Methods Retrospective analysis of 98 elderly patients who underwent PELD treatment in the department of Bone and Spine of the First Affiliated Hospital of Jinzhou Medical University from September 2020 to September 2022 were divided into the smoking group(57 patients)and the control group(41 patients),according to whether they were smokers or not.Comparative analysis of age,gender,body mass index,disease duration,surgical segment,operation time,surgical access,hospital stay,perioperative complications,intervertebral space height at 12 months postoperatively and recurrence of lumbar disc herniation within 12 months postoperatively,and clinical efficacy of the patients in the 2 groups.Results The differences in basic preoperative data and perioperative treatment between the smoking group and the control group were not statistically significant(P>0.05).There was no statistically significant difference in the recurrence rate between the smoking group and the control group(P>0.05),but the rate of recurrence was much higher in the smoking group(7.02%)than in the control group(2.44%).At 12 months postoperatively,the intervertebral space height was significantly higher in the control group[(9.19±1.25)mm]than in the smoking group[(8.69±0.67)mm],with a statistically significant difference(P<0.05).The differences in VAS,ODI and JOA scores between the smoking group and the control group were not statistically significant(P>0.05)at preoperative and 3 months postoperatively,whereas at 12 months postoperatively the control group had better VAS,ODI and JOA scores than the smoking group,and the differences were statistically significant(P<0.05).Conclusion Smoking can affect the efficacy of postoperative rehabilitation of patients with lumbar disc herniation after PELD,and in order to achieve better postoperative outcomes,it is important to try to smoke less or even quit smoking in the postoperative period.
作者
杜先龙
于洋
乔雪春
黄天佑
张鑫
泮云浩
DU Xianlong;YU Yang;QIAO Xuechun;HUANG Tianyou;ZHANG Xin;PAN Yunhao(The First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000;Postgraduate Training Base of Chaoyang City Centre Hospital of Jinzhou Medical University,Jinzhou 122000,China)
出处
《中国老年保健医学》
2024年第1期58-62,共5页
Chinese Journal of Geriatric Care
