Comparison of pain and discomfort in supine and lateral positions after surgery for lumbar degenerative disease: A prospective randomized controlled study

IF 1.5 Q3 NURSING
Yasuchika Aoki , Makoto Suzuki , Hiroshi Takahashi , Arata Nakajima , Masato Sonobe , Toshiaki Kotani , Takayuki Nakajima , Yusuke Sato , Masahiro Inoue , Junya Saito , Masaki Norimoto , Yawara Eguchi , Sumihisa Orita , Seiji Ohtori , Koichi Nakagawa
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引用次数: 1

Abstract

Introduction

To compare postoperative pain and discomfort between supine and lateral positions after lumbar surgery, a prospective randomized controlled study was performed.

Methods

Forty-three patients with lumbar degenerative disease, treated by decompression (n = 23) or fusion surgery (n = 20), were randomly assigned to be placed in either the supine (supine group: n = 21) or lateral (lateral group: n = 22) position postoperatively, and asked to maintain their position until a day after the surgery. Postoperative back pain and discomfort (visual analog scale [VAS], 0–100 mm) and the number of patients who could maintain their position were examined.

Results

The VAS scores for back pain (supine: 64.9 ± 22.0, lateral: 55.7 ± 21.4) showed no significant difference between the positions. However, the supine group showed significantly more severe discomfort (75.6 ± 15.7) than the lateral group (64.9 ± 15.7, p = 0.039). Significantly fewer patients maintained their position in the supine group (28.2%) than in the lateral group (68.2%; p = 0.022). Among patients who underwent fusion surgery, significantly fewer patients maintained their position in the supine group (10.0%) than those in the lateral group (60.0%, p = 0.029).

Conclusion

Postoperative discomfort was significantly reduced in the lateral position than in the supine position; thus, the lateral position is more suitable after lumbar surgery in terms of postoperative discomfort.

腰椎退行性疾病手术后仰卧位和侧卧位疼痛和不适的比较:一项前瞻性随机对照研究
为了比较腰椎手术后仰卧位和侧卧位的术后疼痛和不适,进行了一项前瞻性随机对照研究。方法43例腰椎退行性疾病患者均行减压手术(n = 23)或融合手术(n = 20),术后随机分为仰卧位(仰卧位组:n = 21)和侧卧位(侧卧位组:n = 22)两组,并保持该体位至术后1天。检查术后背部疼痛和不适(视觉模拟量表[VAS], 0 ~ 100 mm)及能保持体位的患者人数。结果两组患者背部疼痛VAS评分(仰卧位:64.9±22.0,侧卧位:55.7±21.4)差异无统计学意义。仰卧位组(75.6±15.7)明显高于侧卧位组(64.9±15.7,p = 0.039)。仰卧位组(28.2%)明显少于侧卧位组(68.2%);p = 0.022)。在接受融合手术的患者中,仰卧位组保持体位的患者(10.0%)明显少于侧卧位组(60.0%,p = 0.029)。结论侧卧位术后不适感较仰卧位明显减轻;因此,就术后不适而言,侧卧位更适合腰椎手术后。
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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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