椎管内肿瘤术后患者早期功能康复相关影响因素分析

Analysis of factors influencing early functional rehabilitation in postoperative patients with spinal canal tumors

目的:探讨椎管内肿瘤术后患者早期功能康复相关影响因素,提高临床疗效。方法:回顾性分析2018年12月至2022年11月我院80例椎管内肿瘤患者临床资料,其中男性39例,女性41例,年龄25~73岁,平均年龄(51.33±11.71)岁。利用SPSS 25.0软件进行统计分析,首先对所有变量按相应检验方法进行单因素分析,再将单因素分析统计中有显著性差异(P<0.05)的指标进行多因素Logistic回归分析,得出可能影响椎管内肿瘤术后患者早期功能康复的独立危险因素。结果:单因素分析显示,视觉模拟(VAS)评分(P=0.042)、Oswestry功能障碍指数(ODI)(P=0.046)、营养状况(P=0.019)、内固定物(P=0.000)、手术方式(P=0.000)、脑脊液漏(P=0.033)、椎管内肿瘤部位(P=0.000)、留置管路(P=0.044)、脊神经功能(P=0.049)、糖尿病(P=0.048)、肢体肌力(P=0.002)差异均有统计学意义;Logistic回归分析显示,VAS评分(P=0.039)、ODI(P=0.025)、内固定物(P=0.016)、手术方式(P=0.037)、椎管内肿瘤部位(P=0.004)、留置管路(P=0.028)、脊神经功能(P=0.049)差异均有统计学意义。结论:VAS评分、ODI、营养状况、内固定物、手术方式、脑脊液漏、椎管内肿瘤部位、留置管路、脊神经功能、糖尿病、肢体肌力均为椎管内肿瘤术后患者早期功能康复的影响因素;其中VAS评分、ODI、内固定物、手术方式、椎管内肿瘤部位、留置管路、脊神经功能为该类患者早期功能康复的独立影响因素。

Objective:To explore the related factors influencing early functional rehabilitation in postoperative patients with spinal canal tumors and improve the clinical efficacy.Methods:The clinical data of 80 patients with spinal canal tumors[39 males and 41 females,aged 25~73 years old,with an average age of(51.33±11.71)years old]in our hospital,from December 2018 to November 2022 were retrospectively analyzed.All data were statistically analyzed by SPSS 25.0 software.First of all,univariate analysis of all variables was carried out according to the corresponding test method,and then the indexes with significant difference(P<0.05)in univariate analysis were analyzed by multivariate Logistic regression analysis,and the independent risk factors influencing early functional rehabilitation in postoperative patients with spinal canal tumors were obtained.Results:Univariate analysis showed that VAS score(P=0.042),ODI(P=0.046),nutritional status(P=0.019),internal fixation(P=0.000),operational manner(P=0.000),cerebrospinal fluid leakage(P=0.033),the location of tumors(P=0.000),indwelling catheters(P=0.044),spinal neural function(P=0.049),diabetes(P=0.048),body muscle(P=0.002)presented statistical significance.Logistic regression analysis showed that there were statistical differences in VAS score(P=0.039),ODI(P=0.025),internal fixation(P=0.016),operational manner(P=0.037),the location of tumors(P=0.004),indwelling catheters(P=0.028),spinal neural function(P=0.049).Conclusion:The VAS score,ODI,nutritional status,internal fixation,operational manner,cerebrospinal fluid leakage,the location of tumors,indwelling catheters,spinal neural function,diabetes,body muscle were influencing factors of early functional rehabilitation in postoperative patients with spinal canal tumors,among which,VAS score,ODI,internal fixation,operational manner,the location of tumors,indwelling catheters,spinal neural function were independent influencing risk factors.