老年脊柱侧凸择期手术患者Koenig抑郁量表与手术预后、步行能力和疼痛感觉的关系  

Relationship between Koenig depression scale and postoperative outcome,walking and pain sensation in elderly patients with scoliosis undergoing elective surgery

作　　者：董利娜 郑雪伟 时中美 DONG Li-na;ZHENG Xue-wei;SHI Zhong-mei(Operating Room,the Affiliated Hospital of Yellow River University of Science and Technology,Zhengzhou,Henan 450000,China)

机构地区：[1]黄河科技学院附属医院手术室,河南郑州450000

出　　处：《颈腰痛杂志》2022年第4期508-511,共4页The Journal of Cervicodynia and Lumbodynia

基　　金：宁夏回族自治区自然科学基金(编号:NZ16212)。

摘　　要：目的探讨老年脊柱侧凸择期手术患者Koenig抑郁量表(koenig depression scale,KDS)与手术预后、步行能力和疼痛感觉的关系。方法选择2017年3月至2020年3月在我院行择期手术治疗的94例老年退行性脊柱侧凸患者(Senile degenerative scoliosis,SDS)作为研究对象,采用术前KDS评分评估抑郁症状,观察KDS评分与人口学参数、术中变量、术后并发症、步行能力和疼痛评分的关系。结果存在抑郁症状和非抑郁症状患者的人口学参数和各项术前变量相比,差异均无统计学意义(P>0.05)。两组患者的手术时间、融合节段、估算失血量、输注红细胞量、脊髓损伤、神经根损伤、硬膜切开术等变量相比,差异均无统计学意义(P>0.05)。两组患者的住院时间、谵妄、尿路感染、发热、切口感染、高血压、低血压、血肿、心肌梗死、肺栓塞、深静脉栓塞、感觉障碍等相比,差异均无统计学意义(P>0.05)。两组患者手术至下床时间、术后第1天步数、出院日步数相比,差异均无统计学意义(P>0.05)。两组患者在基线、术后6周、3月、6月时的VAS评分相比,差异均无统计学意义(P>0.05)。结论抑郁症状对老年退行性脊柱侧凸患者的并发症发生率、行走能力和随访VAS评分均无显著影响。Objective To investigate the relationship between Koenig depression scale(KDS)and prognosis of surgery,walking ability and pain sensation in elderly patients with scoliosis undergoing elective surgery.Methods From March 2017 to March 2020,94 cases with senile degenerative scoliosis who underwent elective surgery in our hospital were selected as the research objects.The relationship between preoperative KDS assessment of depressive symptoms and demographic parameters,intraoperative variables,postoperative complications,walking ability and pain score was observed.Results There were no significant differences in demographic parameters and preoperative variables between patients with and without depressive symptoms(P>0.05).There were no significant differences in operation time,fusion segment,estimated blood loss,transfusion of red blood cells,spinal cord injury,nerve root injury and dural incision between two groups(P>0.05).There were no significant differences in hospitalization time,delirium,urinary tract infection,fever,knife edge infection,hypertension,hypotension,hematoma,myocardial infarction,pulmonary embolism,deep vein embolism and sensory disturbance between the two groups(P>0.05).There were no significant differences in the time from operation to getting out of bed,the number of steps on the first day after operation and the number of steps on the day of discharge between the two groups(P>0.05).There was no significant difference in VAS at baseline,6 weeks,3 months and 6 months after operation between depressive and non-depressive patients(P>0.05).Conclusion Depressive symptoms have no significant effect on the incidence of complications,walking ability and follow-up VAS in elderly patients with degenerative scoliosis.

关 键 词：退行性脊柱侧凸 老年患者 Koenig抑郁量表 疼痛评分 预后 

分 类 号：R687.3[医药卫生—骨科学]