Analysis of Fatigue after Oblique Lumbar Interbody Fusion and Influencing Factors
Objective To investigate the incidence of postoperative fatigue(POF)in patients undergoing oblique lumbar interbody fusion(OLIF)and analyze its influencing factors.Methods A convenience sampling method was used to select 159 patients who underwent OLIF surgery in the Department of Orthopedics of West China Hospital of Sichuan University from January 2023 to August 2023.On the second day after surgery,the Chinese version of the Identity-Consequence Fatigue Scale(ICFS-10)was used for evaluation.Patients with ICFS-10 scores＞24 were included in the POF group,and those with ICFS-10 scores ≤24 served as the non-POF group.The Pittsburgh Sleep Index(PSQI),Huaxi Sunny Index(HEI),and Pain Numeric Rating Scale(NRS)scores of two groups were observed.The univariate analysis was used for the clinical data of two groups,and the statistically significant influencing factors in the univariate analysis were included into a multivariate binary Logistic regression model for analysis.Results The ICFS-10 score of 159 patients was(26.92±2.75)points,and 148 cases(93.08％)developed POF.The comparison of PSQI scores,comorbidities,and NRS pain scores between the two groups showed statistically significant differences(P＜0.05).Binary Logistic regression analysis showed that comorbidities[OR=5.160,95％CI(1.286,20.710),P=0.021]and postoperative pain[OR=6.890,95％CI(1.864,25.465),P=0.004]were risk factors for POF in OLIF patients.Conclusion The incidence of POF in OLIF patients is relatively high,and comorbidities and postoperative pain are risk factors for postoperative POF in OLIF patients.During the perioperative period,it is necessary to strengthen patient sleep management,comorbidity management,and implement active and effective pain management modes to reduce the occurrence of POF and accelerate postoperative recovery.
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