单纯腰椎手术减压治疗腰椎管狭窄老年肥胖患者的疗效分析

Therapeutic Differences between Lumbar Surgery Decompression in Treating Senile Obese Patients and Common Patients with Lumbar Spinal Stenosis

目的:比较老年肥胖患者与一般患者单纯手术减压治疗腰椎管狭窄的临床疗效。方法:将210例患者随机分为肥胖组100例、对照组110例,2组均给予单纯手术减压,术后处理措施相同。结果:优良率观察组为94.55%,对照组为82.00%,2组比较差异具有统计学意义(P<0.05)。JOA评分2组手术后均明显升高(P<0.05),观察组升高更明显(P<0.05)。2组治疗前后生活质量各因子评分均有改善,但观察组无统计学意义(P<0.05),对照组有统计学意义(P<0.05)。结论:肥胖对腰椎管狭窄的手术治疗效果有一定影响,但总的治疗效果是令人满意的,肥胖不能作为老年腰椎管狭窄患者手术与否的绝对指标。

Objective： To compare therapeutic differences between decompression surgery in treating senile obese patients and common patients suffering from spinal stenosis. Methods： All 210 patients were randomized into100 cases of the obesity group and 110 cases of the control group, both groups received surgery decompression and the same measures after the operation. Results： Excellence rate of the observation group was 94.55%, superior to82.00% of the control group, the difference had statistical meaning（P〈0.05）. JOA scales of both groups were raised significantly after the surgery（P〈0.05）, the improvement of the observation group was more notable（P〈0.05）. The scales of life quality factors in both groups were improved before and after treating, but the difference showed no statistical meaning in the observation group（P〈0.05）, but the difference has statistical meaning in the control group（P〈0.05）. Conclusion： Obesity could affect clinical effects of operation in the treatment for spinal stenosis to a certain degree, but total therapeutic effects are satisfying, and obesity couldn＇t be taken as absolute index to judge whether senile patients should be performed the surgery or not.