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[1]席金濤,魯齊林,王小陣,等.腰臀比對腰椎退行性疾病術(shù)后療效的影響[J].中醫(yī)正骨,2024,36(04):11-14.
　XI Jintao,LU Qilin,WANG Xiaozhen,et al.Effects of waist-to-hip ratio on postoperative outcomes of lumbar degenerative diseases[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(04):11-14.
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腰臀比對腰椎退行性疾病術(shù)后療效的影響()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期數(shù):
2024年04期
頁碼:
11-14
欄目:
臨床研究
出版日期:
2024-04-20

文章信息/Info

Title:
Effects of waist-to-hip ratio on postoperative outcomes of lumbar degenerative diseases
作者:
席金濤; 魯齊林; 王小陣; 汪洋; 呂鵬; 汪雄偉; 陳龍; 石震; 竺義亮
武漢中西醫(yī)結(jié)合骨科醫(yī)院/武漢體育學(xué)院附屬醫(yī)院,湖北 武漢 430060
Author(s):
XI Jintao; LU Qilin; WANG Xiaozhen; WANG Yang; LYU Peng; WANG Xiongwei; CHEN Long; SHI Zhen; ZHU Yiliang
Wuhan Orthopaedic Hospital of Integrated Traditional Chinese and Western Medicine(The Affiliated Hospital of Wuhan Sports University),Wuhan 430060,Hubei,China
關(guān)鍵詞:
腰椎;  椎間盤退化;  椎間盤移位;  椎管狹窄;  脊椎滑脫;  肥胖癥;  腰髖比率
Keywords:
lumbar vertebrae;  intervertebral disc degeneration;  intervertebral disc displacement;  spinal stenosis;  spondylolysis;  obesity;  waist-hip ratio
摘要:
目的:探討腰臀比對腰椎退行性疾病術(shù)后療效的影響。方法:回顧性分析1220例腰椎退行性疾病患者的病例資料,其中低腰臀比組102例(男性腰臀比<0.85,女性腰臀比<0.75)、正常腰臀比組705例(男性腰臀比為0.85～0.9,女性腰臀比為0.75～0.8)、高腰臀比組413例(男性腰臀比>0.9,女性腰臀比>0.8)。比較3組患者的手術(shù)時間、術(shù)中出血量、術(shù)后1年Oswestry功能障礙指數(shù)(Oswestry disability index,ODI)及腰背部、臀部、腿部、足部疼痛數(shù)字評分。結(jié)果:①一般結(jié)果。3組患者的手術(shù)時間、術(shù)中出血量比較,組間差異均有統(tǒng)計(jì)學(xué)意義[(118.8±25.6)min,(125.5±18.8)min,(139.3±26.6)min,F=11.238,P=0.001;(125.4±20.6)mL,(140.9±28.6)mL,(188.2±31.6)mL,F=14.262,P=0.035]。高腰臀比組患者手術(shù)時間長于正常腰臀比組和低腰臀比組(P=0.001,P=0.001),術(shù)中出血量多于正常腰臀比組和低腰臀比組(P=0.001,P=0.001); 正常腰臀比組患者的手術(shù)時間、術(shù)中出血量和低腰臀比組比較,組間差異均無統(tǒng)計(jì)學(xué)意義(P=0.136,P=0.117)。②術(shù)后1年疼痛數(shù)字評分。3組患者術(shù)后1年腰背部、臀部、腿部疼痛數(shù)字評分比較,組間差異均有統(tǒng)計(jì)學(xué)意義[(2.60±0.96)分,(2.17±0.84)分,(3.27±1.10)分,F=17.901,P=0.036;(1.45±0.52)分,(1.49±0.50)分,(2.78±0.85)分,F=54.421,P=0.001;(2.09±0.70)分,(2.13±0.98)分,(2.80±1.16)分,F=6.239,P=0.003]; 足部疼痛數(shù)字評分比較,差異無統(tǒng)計(jì)學(xué)意義[(1.55±0.52)分,(1.39±0.49)分,(1.29±0.46)分,F=1.731,P=0.182]。高腰臀比組患者術(shù)后1年腰背部、臀部、腿部疼痛數(shù)字評分均高于低腰臀比組和正常腰臀比組(P=0.045,P=0.001; P=0.047,P=0.003; P=0.029,P=0.001),正常腰臀比組患者術(shù)后1年腰背部、臀部、腿部疼痛數(shù)字評分和低腰臀比組比較,組間差異均無統(tǒng)計(jì)學(xué)意義(P=0.176,P=0.291,P=0.716)。③術(shù)后1年ODI。3組患者術(shù)后1年ODI比較,差異有統(tǒng)計(jì)學(xué)意義[(19.40±6.52)%,(12.59±6.81)%,(24.28±9.83)%,F=30.502,P=0.001]。高腰臀比組患者術(shù)后1年ODI高于正常腰臀比組和低腰臀比組(P=0.001,P=0.042),低腰臀比組患者術(shù)后1年ODI高于正常腰臀比組(P=0.019)。結(jié)論:高腰臀比會增加腰椎退行性疾病患者的手術(shù)時間和術(shù)中出血量,影響患者術(shù)后疼痛緩解和腰椎功能恢復(fù)。
Abstract:
Objective:To explore the effects of waist-to-hip ratio(WHR)on postoperative outcomes of lumbar degenerative diseases(LDDs).Methods:The medical records of 1220 patients with LDDs were retrospectively analyzed.The patients were divided into 3 groups according to the WHR,the ones with the WHR of<0.85 in males and <0.75 in females were assigned into the low WHR group(102 cases),the ones with the WHR ranged from 0.85 to 0.9 in males,0.75 to 0.8 in females into the normal WHR group(705 cases),and the ones with the WHR of>0.9 in males and >0.8 in females into the high WHR group(413 cases).The operative time,intraoperative blood loss,Oswestry disability index(ODI)as well as the lower back,hip,leg and foot pain numeric rating scale(NRS)scores evaluated at postoperative month 12 were compared among the 3 groups.Results:①There was statistical difference in the operative time and intraoperative blood loss among the 3 groups(118.8±25.6,125.5±18.8,139.3±26.6 minutes,F=11.238,P=0.001; 125.4±20.6,140.9±28.6,188.2±31.6 mL,F=14.262,P=0.035).The operative time was longer,and the intraoperative blood loss was more in high WHR group compared to normal WHR group and low WHR group(P=0.001,P=0.001; P=0.001,P=0.001),while,the comparison of operative time and intraoperative blood loss between normal WHR group and low WHR group revealed no significant differences(P=0.136,P=0.117).②The difference was statistically significant in lower back,hip and leg pain NRS scores evaluated at postoperative month 12,while,not statistically significant in foot pain NRS score evaluated at postoperative month 12 among the 3 groups(2.60±0.96,2.17±0.84,3.27±1.10 points,F=17.901,P=0.036; 1.45±0.52,1.49±0.50,2.78±0.85 points,F=54.421,P=0.001; 2.09±0.70,2.13±0.98,2.80±1.16 points,F=6.239,P=0.003; 1.55±0.52,1.39±0.49,1.29±0.46 points,F=1.731,P=0.182).The lower back,hip and leg pain NRS scores evaluated at postoperative month 12 were higher in high WHR group compared to low WHR group and normal WHR group(P=0.045,P=0.001; P=0.047,P=0.003; P=0.029,P=0.001),while,the comparison between normal WHR group and low WHR group revealed no significant differences(P=0.176,P=0.291,P=0.716).③There was statistical difference in ODI evaluated at postoperative month 12 among the 3 groups(19.40±6.52,12.59±6.81,24.28±9.83%,F=30.502,P=0.001).The ODI evaluated at postoperative month 12 was higher in high WHR group compared to normal WHR group and low WHR group(P=0.001,P=0.042),and was higher in low WHR group compared to normal WHR group(P=0.019).Conclusion:A high WHR can increase the operative time and intraoperative blood loss,and affect the postoperative pain relief and lumbar function recovery in patients with LDDs.

參考文獻(xiàn)/References:

[1] FRANK A P,DE SOUZA SANTOS R,PALMER B F,et al.Determinants of body fat distribution in humans may provide insight about obesity-related health risks[J].J Lipid Res,2019,60(10):1710-1719.
[2] SU C A,KUSIN D J,LI S Q,et al.The association between body mass index and the prevalence,severity,and frequency of low back pain:data from the osteoarthritis initiative[J].Spine(Phila Pa 1976),2018,43(12):848-852.
[3] BONO O J,POORMAN G W,FOSTER N,et al.Body mass index predicts risk of complications in lumbar spine surgery based on surgical invasiveness[J].Spine J,2018,18(7):1204-1210.
[4] DE LA GARZA-RAMOS R,BYDON M,ABT N B,et al.The impact of obesity on short-and long-term outcomes after lumbar fusion[J].Spine(Phila Pa 1976),2015,40(1):56-61.
[5] WIDJAJA N A,ARIFANI R,IRAWAN R.Value of waist-to-hip ratio as a predictor of metabolic syndrome in adolescents with obesity[J].Acta Biomed,2023,94(3):e2023076.
[6] 劉胤,張升超.慢性病人群中高脂血癥與腰圍、腰高比、腰臀比的相關(guān)性[J].中國老年學(xué)雜志,2021,41(22):5135-5140.
[7] 任雪玲,章欣,張劉洋.老年人群代謝綜合征、肥胖/超重與腎功能受損的相關(guān)性[J].山東醫(yī)藥,2023,63(26):52-54.
[8] 王賽怡,繆丹丹,孫中明,等.BMI、WC和腰臀比與2型糖尿病患者死亡風(fēng)險的隊(duì)列研究[J].中華疾病控制雜志,2023,27(3):288-293.
[9] 陳孝平,汪建平,趙繼宗.外科學(xué)[M].9版.北京:人民衛(wèi)生出版社,2018:731-737.
[10] 王國旗,劉羽,李雪鵬.腰椎管狹窄癥患者多裂肌脂肪浸潤和肌肉萎縮的性別差異及其與疼痛和功能障礙的關(guān)系[J].頸腰痛雜志,2023,44(2):205-207.
[11] NAKAJIMA K,MIYAHARA J,OHTOMO N,et al.Impact of body mass index on outcomes after lumbar spine surgery[J].Sci Rep,2023,13(1):7862.
[12] HOZUMI J,SUMITANI M,NISHIZAWA D,et al.Resistin is a novel marker for postoperative pain intensity[J].Anesth Analg,2019,128(3):563-568.
[13] ORIS R J,KHAZANCHI R,KURAPATY S,et al.Paraspinal fatty infiltration is associated with reduced improvement in pain and function following lumbar spine surgery[J].Spine J,2023,23(Suppl 9):S176-S177.
[14] BALLATORI A M,SHAHRESTANI S,NYAYAPATI P,et al.Influence of patient-specific factors when comparing multifidus fat infiltration between chronic low back pain patients and asymptomatic controls[J].JOR spine,2022,5(4):e1217.
[15] FELIX E R,GATER JR D R.Interrelationship of neurogenic obesity and chronic neuropathic pain in persons with spinal cord injury[J].Top Spinal Cord Inj Rehabil,2021,27(1):75-83.
[16] 徐玉柱,王運(yùn)濤,姜峰,等.肥胖對后路腰椎融合術(shù)療效影響的研究進(jìn)展[J].中國修復(fù)重建外科雜志,2021,35(1):130-136.
[17] PARK C,GARCIA A N,COOK C,et al.Long-term impact of obesity on patient-reported outcomes and patient satisfaction after lumbar spine surgery:an observational study[J].J Neurosurg Spine,2020,34(1):73-82.
[18] RIHN J A,RADCLIFF K,HILIBRAND A S,et al.Does obesity affect outcomes of treatment for lumbar stenosis and degenerative spondylolisthesis?Analysis of the SPINE PATIENT OUTCOMES RESEARCH TRIal(SPORT)[J].Spine(Phila Pa 1976),2012,37(23):1933-1946.

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備注/Memo:
通訊作者:魯齊林 E-mail:[email protected]
更新日期/Last Update: 1900-01-01