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胸腰椎压缩性骨折患者术后功能康复现状及相关危险因素

The Current Status and Related Risk Factors of Postoperative Functional Rehabilitation in Patients with Thoracolumbar Compression Fractures
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摘要 目的 分析胸腰椎压缩性骨折患者术后功能康复的危险因素。方法 选取2020年1月至2022年8月医院收治的82例胸腰椎压缩性骨折患者作为研究对象,评估所有患者术后功能康复情况,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,重点分析胸腰椎压缩性骨折患者术后功能康复的危险因素。结果 经评估,胸腰椎压缩性骨折患者术后功能恢复良好60例,占比73.17%(60/82);功能恢复不良22例,占比26.83%(22/82)。两组年龄、合并基础疾病、并发症及焦虑抑郁比较,差异有统计学意义(P <0.05);两组其他基线资料比较,差异无统计学意义(P> 0.05)。年龄大、合并基础疾病、有并发症、焦虑及抑郁均为胸腰椎压缩性骨折患者术后功能康复的危险因素(OR> 1,P <0.05)。结论 胸腰椎压缩性骨折患者术后功能康复不良风险较高,年龄大、合并基础疾病、有并发症、焦虑及抑郁均为胸腰椎压缩性骨折患者术后功能康复的危险因素。 Objective The risk factors of postoperative functional rehabilitation in patients with thoracolumbar compression fractures were analyzed.Methods A total of 82 patients with thoracolumbar compression fractures admitted to the hospital from January 2020 to August 2022 were selected as the study objects,and all patients were evaluated for postoperative functional rehabilitation.According to the results,they were divided into a poor group and a good group.Baseline data questionnaire was designed to count and compare.The risk factors of postoperative functional rehabilitation in patients with thoracolumbar compression fractures were analyzed.Results After evaluation,there were 60 cases with good functional recovery,accounting for 73.17%,22 cases with poor functional recovery,accounting for 26.83%.There were statistically significant differences in age,underlying diseases,complications,anxiety and depression between the two groups(P<0.05).Older age,underlying diseases,anxiety and depression were risk factors for postoperative functional recovery in patients with thoracolumbar compression fractures(OR>1,P<0.05).Conclusions Patients with thoracolumbar compression fractures have a high risk of poor postoperative functional recovery.Older age,underlying diseases,complications,anxiety and depression are the risk factors of postoperative functional recovery in patients with thoracolumbar compression fractures.
作者 邹秋红 石建敏 刘玲玲 张晶慧 Zou Qiuhong;Shi Jianmin;Liu Lingling;Zhang Jinghui(Jiangxi Leping Hospital of Traditional Chinese Medicine,Jingdezhen Jiangxi 333300,China)
出处 《医疗装备》 2023年第14期138-140,共3页 Medical Equipment
关键词 胸腰椎压缩性骨折 功能康复 年龄 基础病 并发症 焦虑抑郁 Thoracolumbar compression fractures Functional rehabilitation Complications Anxiety and depression
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