手术治疗与保守治疗老年腰椎管狭窄的疗效分析.pdfVIP

系统医学2020年1月第5卷第1期窑外科研究窑

DOI:10.19368/ki.2096-1782.2020.01.103

手术治疗与保守治疗老年腰椎管狭窄的疗效分析

韩培峰袁苗胜袁张宝峰

宿迁市第一人民医院骨科,江苏宿迁223800

[摘要]目的探讨手术治疗与保守治疗老年腰椎管狭窄患者的疗效遥方法选取2016年10月要2018年6月该院

收治的老年腰椎管狭窄患者110例作为研究对象袁根据治疗方式不同随机分为保守组渊55例冤和手术组渊55例冤遥

保守组采取保守治疗方式袁手术组采取手术治疗方式遥采用SF-36评价量表对两组患者治疗前后的基体疼痛尧生

活质量各项进行评分袁比较治疗后的总有效率遥结果治疗后的两组疼痛评分分别为渊3.1依0.5冤分尧渊3.7依0.6冤分袁明

显低于治疗前袁且治疗后保守组社会能力评分渊32.8依4.6冤分尧躯体功能评分渊25.7依6.8冤分尧全身情况评分渊21.8依

5.2冤分均高于手术组袁疼痛评分低于手术组袁均差异有统计学意义渊t=2.942尧2.684尧2.784尧3.424袁P约0.05冤遥观察组治

疗后的总有效率为92.73豫袁高于对照组治疗后的总有效率78.18豫袁组间比较差异有统计学意义渊字2=4.681袁P约

0.05冤遥结论临床老年腰椎管狭窄治疗中袁患者适宜选择保守治疗袁其具有减轻疼痛尧促进疗效及提高生活质量

等优点袁值得临床应用遥

[关键词]手术治疗曰保守治疗曰腰椎管狭窄曰疗效

[中图分类号]R681[文献标识码]A[文章编号]2096-1782渊圆园20冤01渊a冤原园103-03

TherapeuticEffectofSurgicalTreatmentandConservativeTreatmentof

SenileLumbarSpinalStenosis

HANPei-feng,MIAOSheng,ZHANGBao-feng

DepartmentofOrthopaedics,theFirstPeoplesHospitalofSuqian,CitySuqian,JiangsuProvince,223800China

[Abstract]ObjectiveToevaluatetheefficacyofsurgicaltreatmentandconservativetreatmentofelderlypatientswith

lumbarspinalstenosis.MethodsAtotalof110elderlypatientswithlumbarspinalstenosisadmittedtothehospital

fromOctober2016toJune2018wereenrolledinthestudy.Theywererandomlydividedintoconservativegroup(55

cases)andoperationgroup(55cases)accordingtodifferenttreatmentmethods.Theconservativegroupreceivedconser鄄

vativetreatmentandthesurgicalgroupreceivedsurgicaltreatment.TheSF-36evaluationscalewasusedtoscorethe

painandqualityoflifeofthetwogroupsbeforeandaftertreatment,andthetotaleffectiverateaftertreatmentwas

compared.ResultsThepainscoresofthetwogroupsaftertreatmentwere(3.1依0.5)pointsand(3.7依0.6)points,which

weresignificantlylowerthanthosebeforetreatment,andthesocialabilityscore(32.8依4.6)po