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周群,王敏,胡德新,何飞.腰椎间盘突出症经皮椎间孔镜髓核摘除术后离床活动时机的探讨[J].浙江中西医结合杂志,2016,26(10):
腰椎间盘突出症经皮椎间孔镜髓核摘除术后离床活动时机的探讨
Study on the Post-operative Ambulatory Time of Patients with Lumbar Disc Herniation Treated by Percutaneous Transforaminal Endoscopic
投稿时间:2016-01-30  修订日期:2016-03-24
DOI:
中文关键词:  经皮椎间孔镜术  腰椎间盘突出症  离床时机
英文关键词:percutaneous  transforaminal endoscopic,Lumbar  Disc Herniation, post-operative  ambulatory time
基金项目:浙江省中医药科技计划(项目编号:2015ZA150)
作者单位E-mail
周群* 杭州市红十字会医院 lung1024@139.com 
王敏 杭州市红十字会医院  
胡德新 杭州市红十字会医院  
何飞 杭州市红十字会医院  
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中文摘要:
      目的:探讨腰椎间盘突出症经皮椎间孔镜下髓核摘除术后离床活动的时机。方法:选取我科住院行经皮椎间孔镜下髓核摘除术的腰椎间盘突出症的患者42例,记录术后2小时(观察组)、24小时或更晚下床(对照组)活动患者的术后住院时间,JOA评分改善指数及3个月疼痛复发率,并进行比较。结果:观察组病人术后住院时间要明显小于对照组(P=0.02),观察组病人JOA评分改善指数与对照组相比无显著性差异(P=0.11),两组患者在术后3个月内均有一例疼痛复发,无显著差异(P>0.05)。结论:腰椎间盘突出症经皮椎间孔镜下髓核摘除术后早期下床活动能缩短术后住院时间,但不减少患者JOA改善指数,不增加疼痛复发率。
英文摘要:
      Objective: To study on the post-operative ambulatory time of patients with Lumbar Disc Herniation treated by percutaneous transforaminal endoscopic.Methods:42 patiemts were divided into observation group(post-operative ambulatory time :2hours)and control group(post-operative ambulatory time :24hours or more), post-operative hospital stay,improved index number of JOA and recurrence pain rate in 3 months were recorded.Results: Compared with control group,post-operative hospital stay was decreased significantly in the observation group (P<0.05 ) and there were no significant differences of improved index number of JOA and recurrence pain rate between the two groups (P> 0.05) .Conclusion: Early mobilization could shorten the period of post-operative hospital stay,but do not decrease improved index number of JOA and do not increase recurrence pain rate in 3 months.
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