腰椎骨折患者术后腰椎功能恢复的危险因素

Risk Factors for Postoperative Lumbar Functional Recovery in Patients with Lumbar Fractures

目的探讨腰椎骨折患者术后腰椎功能恢复的危险因素。方法选取2021年1月至2022年1月江西省宜春市中医院收治的81例腰椎骨折患者作为研究对象,评估所有患者的术后腰椎功能恢复情况,根据结果分为不良组与良好组,设计基线资料调查表,详细统计并比较两组基线资料,重点分析腰椎骨折患者术后腰椎功能恢复的危险因素。结果经评估,腰椎骨折患者术后腰椎功能恢复不良20例,占比24.69%;不良组与良好组的年龄、手术方式、自我效能、合并基础疾病比较,差异有统计学意义(P<0.05)。经回归分析结果显示,年龄大、正中入路手术、自我效能低下、合并基础疾病均为腰椎骨折患者术后腰椎功能恢复的危险因素(OR>1,P>0.05)。结论腰椎骨折患者术后腰椎功能恢复不良风险较高,年龄大、正中入路手术、自我效能低下、合并基础疾病均为腰椎骨折患者术后腰椎功能恢复的危险因素。

Objective The risk factors for postoperative lumbar functional recovery in patients with lumbar fractures have been investigated.Methods Select 81 patients with lumbar spine fractures admitted to Yichun City Hospital of Traditional Chinese Medicine in Jiangxi Province from January 2021 to January 2022 as the research object,evaluate the postoperative recovery of lumbar spine function in all patients,and divide them into poor and good groups according to the results.Design a baseline data questionnaire,collect and compare the baseline data of the two groups in detail,focusing on analyzing the risk factors for postoperative recovery of lumbar spine function in patients with lumbar spine fractures.Results After evaluation,20 patients with lumbar spine fracture had poor postoperative recovery of lumbar spine function,accounting for 24.69%;There was a statistically significant difference between the poor group and the good group in terms of age,surgical methods,self-efficacy,and underlying diseases(P<0.05);Regression analysis showed that older age,median approach surgery,low selfefficacy,and underlying diseases were all risk factors for postoperative lumbar functional recovery in patients with lumbar fractures(OR>1,P<0.05).Conclusions Patients with lumbar fractures have a higher risk of poor postoperative lumbar functional recovery.Older age,median approach surgery,low self-efficacy,and concomitant underlying diseases are all risk factors for postoperative lumbar functional recovery in patients with lumbar fractures.