摘要
目的 分析老年急性脊椎骨折的类型、节段、变形程度等因素与预后的相关性.方法 以临床上147例老年急性脊椎骨折患者作为研究样本,对每一个样本分别在3周、3个月、6个月、12个月后以问卷调查方式收集关于疼痛程度、残疾程度、日常生活行为和生活质量的数据,对其进行评分,观察患者的预后.结果 69%发生楔形性骨折,19%发生凹面性骨折,12%发生粉碎性骨折.胸椎和腰椎的骨折比例比较差异无统计学意义（P〉0.05）.20.6%为轻度椎骨变形,46.7%为中度椎骨变形,32.7%为重度椎骨变形,差异有统计学意义（P=0.004）.骨折变形程度与性别、年龄、骨折定位之间无关联,粉碎性骨折与重度骨折变形之间联系更为密切（P〈0.001）.粉碎性骨折和重度变形患者的EQ-5D评分较低.胸椎骨折与脊椎后凸的的改变相关.结论 有重度变形和粉碎性骨折的老年急性患者预后较差.而骨折节段分布、骨折类型等因素对预后影响较小.
Objective To analyze the prognosis factors for acute spinal fracture in aged patients, such as types of senile, acute vertebral fracture section and deformation degree. Methods 147 clinical elderly patients with acute vertebral fracture were included in this study. 3 week, 3 month, 6 months, 12 months after fracture, the questionnaire regarding the degree of pain, disability, activities of daily living and quality of life was done, and the relationship between the collecting data and prognosis was statistically analyzed. Results Among all the patients, fracture of cuneiform, comminuted fractures and fracture of concave bone accounted for 69%, 12% and 19% fractures, respectively. There was no significant difference in the fracture type ratio between the thoracic vertebra and lumbar vertebra （ P 〉 0.05）. Mild, moderate and severe vertebral deformation was 20. 6%, 46. 7% and 32. 7%, respectively. Moderate vertebral deformation accounted for the majority of patients, with statistical significance （P = 0.004）. The degree of deformation had nothing to do with gender, age and fracture location. Comminuted fracture and severe fracture deformation were closely linked （P 〈 O. 001 ）. Low EQ- 5D scores were observed in the patients with comminuted fractures and severe deformation. Thoracic vertebral fracture correlated to kyphosis change. Conclusion Severe deformation and comminuted vertebral fractures in elderly patients indicate poor prognosis for acute spinal fracture, but fracture segment distribution, fracture type and other factors do not help the prediction of prognosis in this disease.
出处
《中国急救医学》
CAS
CSCD
北大核心
2013年第7期637-640,共4页
Chinese Journal of Critical Care Medicine
关键词
脊椎骨折
预后
因素
骨折节段
骨折变形
骨折类型
Spinal fracture
Prognosis
Factors
Segments of fracture
Deformation
Fracture type
