Relationship of psychoalgological status and results of neurosurgical treatment of patients with discogenic radiculopathy

Q4 Medicine
И., О. Крицкая, Д. В. Свистов, В. Литвиненко, В. Сергеева, М. Н. Кравцов, Д. Мирзаметов, Н. П. Алексеева, А. Ю. Щербук, Ю. А. Щербук, Valentin I. Leonov, Irina O. Kritskaya, D. Svistov, E. Litvinenko, T. Sergeeva, Viktor V. Flud, M. Kravtsov, S. D. Mirzametov, N. Alexeyeva, Alexandr Yu. Shcherbuk, Yuriy A. Shcherbuk
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引用次数: 0

Abstract

The OBJECTIVE was to improve the results of surgical treatment of patients with discogenic radiculopathy by preoperative neuropsychological examination of patients with an increased risk of unsatisfactory outcome of the operation.METHODS AND MATERIALS. Neuropsychological status of 77 patients with discogenic radiculopathy in the preoperative period was studied. For this purpose, we assessed the intensity of pain, levels of personal and situational anxiety and the presence and severity of depression. The obtained data were compared with postoperative results of quality of life assessment for the main parameters, which include the level of pain and adaptation to daily activities.RESULTS. Data from neuropsychological tests were revealed, the presence of which in patients with discogenic pain syndrome suggests the risk of an unsatisfactory assessment of the operation performed by the patient. According to the long-term results of neurosurgical treatment, patients were divided into three groups: 1 – with a good result; 2 – patients with a number of preserved complaints, who rated the result of the operation as satisfactory; 3 – unsatisfactory outcome. In patients with unsatisfactory results of surgical treatment of discogenic radiculopathies with pain syndrome, patterns of psychological indices were found that were significantly associated with the outcome of treatment.CONCLUSION. Conducting a neuropsychological examination prior to surgery with the identification of predictors of chronic discogenic pain and patient dissatisfaction with the results of treatment can influence the surgical tactics and optimize the process of further treatment.
盘源性神经根病患者心理状态与神经外科治疗效果的关系
目的:通过对手术预后不满意风险增加的患者进行术前神经心理检查,提高椎间盘源性神经根病患者的手术治疗效果。方法和材料。对77例椎间盘源性神经根病患者术前的神经心理状态进行了研究。为此,我们评估了疼痛的强度、个人和情境焦虑的程度以及抑郁的存在和严重程度。将获得的数据与术后主要参数生活质量评估结果进行比较,主要参数包括疼痛程度和对日常活动的适应。来自神经心理学测试的数据显示,椎间盘源性疼痛综合征患者存在神经心理学测试,表明患者对手术评估不满意的风险。根据神经外科治疗的远期效果,将患者分为三组:1 -效果较好;2 -保留了一些投诉的患者,对手术结果满意;3 -不满意的结果。在伴有疼痛综合征的椎间盘源性神经根病手术治疗效果不理想的患者中,心理指标的模式与治疗结果有显著的相关性。在手术前进行神经心理学检查,识别慢性椎间盘源性疼痛的预测因素和患者对治疗结果的不满,可以影响手术策略并优化进一步治疗的过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
40
审稿时长
8 weeks
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