生活方式对神经根型颈椎病患者术后早期康复的影响

被引：13

作者：

李衍朋 ^{[1
]}

孟纯阳 ^{[2
]}

机构：

[1] 济宁, 济宁医学院

[2] 济宁, 济宁医学院附属医院脊柱外科

来源：

中华行为医学与脑科学杂志 | 2016年 / 25卷 / 04期

关键词：

生活方式; 颈椎病; 康复;

D O I：

暂无

中图分类号：

R473.6 [外科护理学]; R687.3 [骨骼手术];

学科分类号：

100210 [外科学]; 100220 [骨科学];

摘要：

目的探讨神经根型颈椎病患者术后早期康复情况并分析其与生活方式的相关性。方法对164例有完整随访资料并行颈椎前路手术治疗的神经根型颈椎病患者的相关资料进行回顾性分析。采用改良MacNab标准评价术后康复情况, 术后3月进行随访评估临床疗效, 并参考改良MacNab标准将患者分为满意组(优/良)和不满意组(可/差)。预后因素包括一般资料和生活方式。生活方式包括吸烟史、酗酒史、睡眠时间、枕头高度、伏案工作时间和体育锻炼频次。采用χ2检验和多因素Logistic回归分析生活方式对神经根型颈椎病术后早期康复的影响。结果术后3月患者临床疗效满意度88.4%。χ2检验显示两组间年龄(χ2=5.819, P<0.05)、吸烟(χ2=5.074, P<0.05)和体育锻炼频次(χ2=4.430, P<0.05)差异有统计学意义, 而性别、BMI、糖尿病史、酗酒史、睡眠时间、枕头高度、伏案工作时间和教育程度的比较均差异无统计学意义(P>0.05)。多因素Logistic分析提示年龄>50岁(OR=3.913, 95%CI=1.321～11.594, P=0.014)、吸烟(OR=3.217, 95%CI=1.126～9.195, P=0.029)和体育锻炼≤3次/周(OR=3.906, 95%CI=1.026～14.869, P=0.046)是影响神经根型颈椎病术后早期临床疗效满意度的危险因素。结论年龄、吸烟和体育锻炼频次与神经根型颈椎病患者术后早期康复有关, 年龄>50岁、吸烟和体育锻炼≤3次/周其术后早期康复相对较差。

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