| 张兵 刘琮 李博 鲍亮 朱鹏.微创治疗术式于脊柱创伤后的疼痛及并发症的临床应用[J].,2016,16(33):6487-6490 |
| 微创治疗术式于脊柱创伤后的疼痛及并发症的临床应用 |
| Clinical Application of Minimally Invasive Surgery in the Treatment of Pain and Complications after Spinal Trauma |
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| DOI： |
| 中文关键词: 脊柱创伤 微创治疗 疼痛 并发症 |
| 英文关键词: Spinal trauma Minimally invasive treatment Pain Complication |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨微创治疗术式对脊柱创伤患者治疗后疼痛程度及并发症的临床疗效。方法：回顾性分析2015 年3 月至2016 年3
月72 例脊柱创伤患者，随机数字法将其分为观察组和对照组各36 例，其中对照组给予传统术式治疗，观察组给予微创术式治
疗，比较两组治疗后患者疼痛缓解程度及并发症发生率情况。结果：①观察组手术时间、出血量、住院和下地活动时间分别为
（121.36± 7.85）min、（123.74± 31.75）mL、（8.32± 2.14）d、（37.85± 9.28）h 均明显优于对照组的（175.96± 12.47）min、（299.77±
36.01）mL、（15.41± 4.58）d、（57.03± 13.58）h，比较差异有显著性（t 值=7.931、11.372、8.192、9.341，P<0.05）。② 观察组疼痛程度评
分中VAS 评分和NRSD评分分别为（1.86± 0.53）和（2.01± 0.59）均显著低于对照组的（5.52± 1.34）和（5.59± 1.35），比较有显著
性差异（t值=12.913、11.235，P<0.05）。③ 观察组术后并发症发生率为8.33%，显著低于对照组的27.78%，比较有显著性差异（Z值
=9.637，P<0.05）。结论：对于脊柱发生创伤的患者而言，在临床中应用微创术式进行干预治疗，不仅临床效果令人满意，而且还可
较为有效的改善患者疼痛症状，减少并发症的发生，应用较为安全，值得推广使用。 |
| 英文摘要: |
| Objective:To investigate the clinical effect of minimally invasive treatment on the degree of pain and complications
after treatment of spinal trauma patients.Methods:Retrospective analysis of 72 patients with spinal trauma from March 2015 to March
2016, which is randomly divided into observation group and control group, 36 cases were randomly divided into two groups, The control
group was treated with conventional surgery, the observation group received minimally invasive surgery. The degree of pain relief and the
incidence of complications after treatment in the two groups were compared.Results:The observation group's of the operative time,
amount of bleeding, hospitalization and time respectively（121.36± 7.85）min, （123.74± 31.75）mL, （8.32± 2.14）d、（37.85± 9.28）h
were significantly better than the control group（175.96± 12.47）min,（299.77± 36.01）mL,（15.41± 4.58）d,（57.03± 13.58）h, the differences
are significant (t =7.931, 11.372, 8.192, 9.341, P<0.05). The observation group's of the degree of pain scores in VAS score and
score of NRSD respectively（1.86± 0.53）and（2.01± 0.59）were significantly lower than those in the control group（5.52± 1.34）and
（5.59± 1.35）, the compared with a significant difference (t =12.913, 11.235, P < 0.05). The incidence rate of postoperative complications
in the observation group was 8.33%, significantly lower than that of the control group 27.78%, there were significant differences (Z =
9.637, P<0.05).Conclusion:For the occurrence of spinal trauma patients, in the clinical application of minimally invasive surgery treatment
intervention, not only the clinical effect is satisfactory, but also more effectively improve symptoms in patients with pain, reduce
complication, application is safe, it is worthy to be popularized. |
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