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Driving reaction time before and after surgery for lumbar disc herniation in patients with radiculopathy.

机译:神经根病患者腰椎间盘突出症手术前后的驱动反应时间。

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摘要

Although patients scheduled to undergo lumbar disc surgery often ask when they are allowed to drive a motor vehicle again, there are no published recommendations on this subject.We conducted a prospective study in 46 consecutive patients (mean age 48.9?years) to determine driving reaction time (DRT) before and after surgery in patients with lumbar disc herniation. Of the patients 23 had left-side radiculopathy and 23 right-side radiculopathy. Driving reaction time as well as back and leg pain were evaluated preoperatively, on the day of discharge from hospital and at the 5-week follow-up examination (FU). 31 healthy subjects were tested as controls.Significant improvement in DRT was seen for both patient samples (p?
机译:尽管计划进行腰椎间盘突出手术的患者通常会询问何时允许他们再次驾驶汽车,但尚未对此问题发表任何建议。我们对46位连续患者(平均年龄48.9岁)进行了前瞻性研究,以确定驾驶反应腰椎间盘突出症患者手术前后的时间(DRT)。在这些患者中,有23例患有左侧神经根病和23例患有右侧神经根病。术前,出院当天和5周的随访检查(FU)均评估了驾驶反应时间以及背部和腿部疼痛。将31名健康受试者作为对照进行测试。两个患者样本的DRT均有显着改善(p <0.05)。对于右侧神经根病患者,术前DRT为664?ms(中位数,IQR:241),术后立即降至605?ms(中位数,IQR:189),并降至593?ms(中位数,IQR:115)。在FU。对于患有左侧神经根病的患者,术前DRT为675?ms(中位数,IQR:242),术后为638?ms(中位数,IQR:242),而FU为619?ms(中位数,IQR:162)。疼痛与DRT呈中度相关。对照组的驾驶反应时间为487(中位数,IQR:116),在所有三个测试时间均与患者显着不同(p <0.001)。我们的数据表明手术对驾驶能力的积极影响。因此,我们建议对于两个患者样本,出院后继续驾驶是安全的。但是,必须在手术前告知患者神经根病引起的DRT增加。

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