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基于智慧医疗的重组人骨形态发生蛋白-2 复合物与自体骨不同比例对颈椎体间融合效果的临床研究。

A Clinical Study on the Effect of Different Ratios of Recombinant Human Bone Morphogenetic Protein-2 Compound to Autogenous Bone on Cervical Interbody Fusion Based on Smart Healthcare.

机构信息

Department of Spinal Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221000, China.

Clinical Laboratory, Xuzhou Maternal and Child Health Care Hospital, Xuzhou, Jiangsu 221000, China.

出版信息

J Healthc Eng. 2021 Dec 16;2021:1033900. doi: 10.1155/2021/1033900. eCollection 2021.

Abstract

With an increasing elderly population worldwide, the incidence of spine degenerative diseases with neck and shoulder pain as the main symptom is rising obviously, which has now become one of the important and difficult problems in sociomedical science. This study was to explore the effects of different ratios of recombinant human bone morphogenetic protein-2 (rhBMP-2) compound to the autogenous bone on cervical interbody fusion. 90 cervical degeneration patients with the need of surgical treatment admitted to our hospital from January 2019 to January 2020 were selected as the research objects and equally divided into group A, group B, and group C according to the order of admission, with 30 cases in each group and the ratios of rhBMP-2 compound to autogenous bone being 2 : 1, 1 : 1, and 1 : 2 respectively, and standard anterior cervical diskectomy and fusion (ACDF) treatment was performed to all patients to compare their surgery-related indexes, the Japanese Orthopaedic Association (JOA) score, the visual analog scale (VAS) score, the effect of cervical interbody fusion, and the postoperative complication rate (CR). Compared with group A and group C, group B achieved the significantly better surgery-related indexes ( < 0.05), significantly higher postoperative JOA scores ( < 0.05), significantly lower postoperative neck and upper limb VAS scores ( < 0.05), significantly better effect of cervical interbody fusion ( < 0.05), and significantly lower postoperative CR ( < 0.05). 1 : 1 is the best ratio of rhBMP-2 compound to the autogenous bone, for it can optimize patients' perioperative indexes, reduce the postoperative pain, lower the possibility of complications, and improve the effect of cervical interbody fusion, which should be promoted and applied in practice.

摘要

随着全球老年人口的增加,以颈肩部疼痛为主要症状的脊柱退行性疾病的发病率明显升高,现已成为社会医学科学的重要难题之一。本研究旨在探讨不同比例的重组人骨形态发生蛋白-2(rhBMP-2)复合物与自体骨对颈椎椎间融合的影响。选取 2019 年 1 月至 2020 年 1 月我院收治的 90 例需手术治疗的颈椎退变患者为研究对象,按照入院顺序分为 A、B、C 三组,每组 30 例,rhBMP-2 复合物与自体骨的比例分别为 2∶1、1∶1、1∶2,均行标准前路颈椎间盘切除融合术(ACDF)治疗,比较三组患者的手术相关指标、日本骨科协会(JOA)评分、视觉模拟评分(VAS)、颈椎椎间融合效果及术后并发症发生率(CR)。与 A 组和 C 组相比,B 组手术相关指标更佳( < 0.05),术后 JOA 评分更高( < 0.05),术后颈肩部和上肢 VAS 评分更低( < 0.05),颈椎椎间融合效果更好( < 0.05),术后 CR 更低( < 0.05)。rhBMP-2 复合物与自体骨的最佳比例为 1∶1,因为该比例可以优化患者围手术期指标,减轻术后疼痛,降低并发症发生的可能性,提高颈椎椎间融合效果,值得在临床中推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/713e/8702310/a907f245ae6a/JHE2021-1033900.001.jpg

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