摘要
目的:探讨颈椎矢状面平衡变化对脊柱手术患者的影响。方法:选取2015年3月-2019年9月福建医科大学附属漳州市医院进行脊柱手术的112例脊柱退行性疾病患者作为研究对象。对患者进行分组,并收集一般资料,在112例患者中,高平衡组42例,低平衡组70例,两组一般资料比较差异无统计学意义(P>0.05)。所有患者均给予颈椎后路单开门椎管扩大椎板成形术治疗。比较两组围手术期指标,术前1 d与术后1个月Cobb角,术前1 d、术后1、2 d颈静脉脑氧饱和度(SjvO),术后3个月颈椎功能。结果:两组麻醉时间、手术时间、术中出血量比较差异均无统计学意义(P>0.05),高平衡组术中总输液量多于低平衡组,术后住院时间长于低平衡组(P<0.05)。术后1个月,两组Cobb角均大于术前1 d,低平衡组Cobb角大于高平衡组(P<0.05)。术后1、2 d,低平衡组的SjvO值均高于高平衡组(P<0.05)。低平衡组术后3个月颈椎功能优良率为98.6%,显著高于高平衡组的88.1%(P<0.05)。结论:颈椎矢状面平衡变化能影响脊柱手术患者的预后,低平衡状态不会影响患者脑氧饱和度,改善Cobb角,从而提高患者术后颈椎功能。
Objective:To investigate the effect of cervical spine sagittal balance change on patients undergoing spinal surgery.Method:A total of 112 patients with spinal degenerative diseases who underwent spinal surgery in Zhangzhou Hospital Affiliated to Fujian Medical University from March 2015 to September 2019 were selected as the research objects.The patients were divided into groups and general data were collected.Among the 112 patients,there were 42 cases in the high balance group and 70 cases in the low balance group.There was no significant difference in general data between the two groups(P>0.05).All patients were given the posterior cervical expansive open-door laminoplasty.The perioperative indicators,Cobb angle 1 day before surgery and 1 month after surgery,jugular vein cerebral oxygen saturation(SjvO)1 day before surgery,1 and 2 days after surgery,and cervical spine function 3 months after surgery were compared between the two groups.Result:There were no significant differences in anesthesia time,surgery time and intraoperative bleeding volume between the two groups(P>0.05).The total intraoperative infusion volume in the high balance group was more than that in the low balance group,and the postoperative hospital stay was longer than that in the low balance group(P<0.05).One month after surgery,the Cobb angle of both groups was greater than that in the 1 day before surgery,and the Cobb angle of the low balance group was greater than that of the high balance group(P<0.05).At 1 and 2 days after surgery,the SjvOvalue of the low balance group was higher than that of the high balance group(P<0.05).Three months after surgery,the excellent and good rate of cervical spine function in the low balance group was 98.6%,which was significantly higher than 88.1% in the high balance group(P<0.05).Conclusion:The cervical spine sagittal balance change can affect the prognosis of patients undergoing spinal surgery.The low balance state will not affect the patient’s cerebral oxygen saturation,improve the Cobb angle,and thus improve the patient’s postoperative cervical function.
作者
林提金
LIN Tijin(Zhangzhou Hospital Affiliated to Fujian Medical University,Zhangzhou 363000,China)
出处
《中外医学研究》
2022年第21期128-131,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
颈椎矢状面平衡
脊柱手术
脑氧饱和度
COBB角
颈椎功能
Cervical spine sagittal balance
Spinal surgery
Cerebral oxygen saturation
Cobb angle
Cervical spine function
