摘要
目的 探讨腰椎管狭窄症(LSS)患者的步行速度(步速)与术后疼痛灾难化(PC)的相关性.方法 选择2018年1月至2021年12月于该院接受手术治疗的93例LSS患者作为研究对象,收集患者术前、术后3个月、术后6个月、术后12个月时的疼痛灾难化评分(PCS)、步速、疼痛数字评分量表(NRS)评分、日本骨科协会(JOA)评分,观察术后3个月、术后6个月、术后12个月时PCS与步速的关系.结果 术后12个月时,患者无助、放大、沉思等维度及PCS总得分均较术前显著降低(P＜0.05).术后12个月时,患者步速、JOA评分均较术前显著升高,差异有统计学意义(P＜0.05);术后12个月时,患者腿痛NRS、腰痛NRS均较术前显著降低(P＜0.05).Pearson相关性分析显示,患者术前、术后3个月、术后6个月、术后12个月时的PCS与步速和JOA评分均呈显著负相关(P＜0.05),PCS与腿痛NRS、腰痛NRS均呈显著正相关(P＜0.05).多元线性回归分析显示,术后3个月、术后6个月、术后12个月时的PCS与步速均呈负相关性(P＜0.05).结论 LSS患者术后1年内PC与步速呈显著负相关,步行速度评估对于术后疼痛的管理可能具有重要指导作用.
Abstract
Objective To investigate the correlation between walking speed and postoperative pain catastrophe(PC)in patients with lumbar spinal stenosis(LSS).Methods A total of 93 patients with LSS who underwent surgical treatment from January 2018 to December 2021 were selected as the study subjects.The pain catastrophic score(PCS),gait speed,NRS scores,and JOA scores were collected before,3,6,and 12 months after surgery.The relationship between PCS and gait speed was observed at 3,6 and 12 months after surgery.Results At 12 months after surgery,the dimensions of helplessness,amplification,and contemplation as well as the to-tal score of PCS significantly decreased(P＜0.05).At 12 months after surgery,the patient's walking speed and JOA scores were sig-nificantly lower than those before surgery,with a statistically significant difference(P＜0.05);The NRS of leg pain and low back pain in patients at 12 months after surgery were significantly lower than those before surgery(P＜0.05).Pearson correlation analysis showed that there was a significant negative correlation between PCS,walking speed and JOA score at preoperative,postoperative 3 months,postoperative 6 months and postoperative 12 months in patients(P＜0.05).PCS was significantly positively correlated with NRS of leg pain and lower back pain(P＜0.05).Multiple linear regression results showed that there was a negative correlation be-tween PCS and walking speed at 3,6 and 12 months after surgery(P＜0.05).Conclusion There is significant negative correlation between PC and walking speed in LSS patients within 1 year after surgery,and walking speed assessment may have an important guid-ing role in postoperative pain management.
维普
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