CAJ | 학술논문

目的：比较老年肥胖患者与一般患者单纯手术减压治疗腰椎管狭窄的临床疗效。方法：将210例患者随机分为肥胖组100例、对照组110例，2组均给予单纯手术减压，术后处理措施相同。结果：优良率观察组为94.55%，对照组为82.00%，2组比较差异具有统计学意义（P＜0.05）。 JOA评分2组手术后均明显升高（P＜0.05），观察组升高更明显（P＜0.05）。2组治疗前后生活质量各因子评分均有改善，但观察组无统计学意义（P＜0.05），对照组有统计学意义(P＜0.05)。结论：肥胖对腰椎管狭窄的手术治疗效果有一定影响，但总的治疗效果是令人满意的，肥胖不能作为老年腰椎管狭窄患者手术与否的绝对指标。
목적：비교노년비반환자여일반환자단순수술감압치료요추관협착적림상료효。방법：장210례환자수궤분위비반조100례、대조조110례，2조균급여단순수술감압，술후처리조시상동。결과：우량솔관찰조위94.55%，대조조위82.00%，2조비교차이구유통계학의의（P＜0.05）。 JOA평분2조수술후균명현승고（P＜0.05），관찰조승고경명현（P＜0.05）。2조치료전후생활질량각인자평분균유개선，단관찰조무통계학의의（P＜0.05），대조조유통계학의의(P＜0.05)。결론：비반대요추관협착적수술치료효과유일정영향，단총적치료효과시령인만의적，비반불능작위노년요추관협착환자수술여부적절대지표。
Objective: To compare therapeutic differences between decompression surgery in treating senile obese patients and common patients suffering from spinal stenosis. Methods:All 210 patients were randomized into 100 cases of the obesity group and 110 cases of the control group, both groups received surgery decompression and the same measures after the operation. Results: Excellence rate of the observation group was 94.55%, superior to 82.00%of the control group, the difference had statistical meaning (P<0.05). JOA scales of both groups were raised significantly after the surgery (P<0.05), the improvement of the observation group was more notable (P<0.05). The scales of life quality factors in both groups were improved before and after treating, but the difference showed no sta-tistical meaning in the observation group (P<0.05), but the difference has statistical meaning in the control group (P<0.05). Conclusion:Obesity could affect clinical effects of operation in the treatment for spinal stenosis to a cer-tain degree, but total therapeutic effects are satisfying, and obesity couldn't be taken as absolute index to judge whether senile patients should be performed the surgery or not.