退行性腰椎管狭窄症减压术后早期下腰痛的影响因素分析

Influencing factors of lower back pain early after decompression surgery for degenerative lumbar spinal stenosis

目的:探讨退行性腰椎管狭窄症(DLSS)患者减压术后早期发生下腰痛(LBP)的影响因素。方法:回顾性分析2017年8月至2020年8月信阳市淮滨县人民医院收治的210例DLSS患者的临床资料,统计术后2周LBP发生情况,将发生LBP的47例患者纳入发生组,未发生LBP的163例患者纳入未发生组,分析DLSS患者减压术后早期发生LBP的影响因素。结果:多元Logistic回归结果显示,首次接受锻炼时间延长、瘢痕体质、合并糖尿病是DLSS患者减压术后早期发生LBP的影响因素(OR>1,P<0.05)。结论:首次接受锻炼时间延长、瘢痕体质、合并糖尿病与DLSS患者减压术后早期发生LBP关系密切。

Objective:To investigate the influencing factors of lower back pain(LBP)early after decompression surgery in patients with degenerative lumbar spinal stenosis(DLSS).Methods:The clinical data from 210 DLSS patients admitted to Huaibin County People’s Hospital in Xinyang between August 2017 and August 2020 were retrospectively analyzed.The onset of LBP at two weeks after surgery was recorded.A total of 47 patients with LBP were included in LBP group,and the remaining 163 patients who did not develop LBP were included in the non-LBP group.The factors influencing the onset of LBP early after decompression surgery in DLSS patients were analyzed.Results:Multivariate logistic regression showed that delayed time to first exercise,scar constitution,and diabetes mellitus may be the influencing factors of LBP early after decompression surgery in patients with DLSS(OR>1,P<0.05).Conclusion:Delayed time to first exercise,scar constitution,and diabetes mellitus are closely related to onset of LBP early after decompression surgery in DLSS patients.