摘要
目的研究周期性康复训练联合脊柱后凸成形术对骨质疏松性椎体压缩性骨折的效果。方法选取2019年3月至2020年3月本院收治的骨质疏松性椎体压缩性骨折患者54例进行研究,根据患者意愿将其分为研究组(n=26)和对照组(n=28),对照组单纯行脊柱后凸成形术进行治疗,观察组在该手术基础上联合使用周期性康复训练进行治疗,比较两组患者Oswestry功能障碍指数、ADL日常生活活动能力评分及疼痛改善效果。结果干预前,两组患者DOI量表、NRS评分及ADL评分比较,差异均无统计学意义(均P>0.05)。干预1、3个月后,研究组下腰痛评价表Oswestry功能障碍的DOI量表评分分别为(21.42±6.82)分、(17.34±5.47)分,显著低于对照组和干预前,差异均有统计学意义(均P<0.05);干预1、3个月后,研究组ADL评分分别为(70.54±19.42)分、(75.67±18.59)分,显著高于对照组和干预前,差异均有统计学意义(均P<0.05);干预1、3个月后,研究组NRS疼痛评分分别为(4.14±0.83)分、(3.73±1.01)分,显著低于对照组和干预前,差异均有统计学意义(均P<0.05)。结论骨质疏松性椎体压缩性骨折采用周期性康复训练联合脊柱后凸成形术治疗,可提升患者腰椎功能恢复,降低腰部疼痛,逐渐恢复日常生活活动能力,具有临床推广价值。
Objective To study the effect of periodic rehabilitation training combined with kyphoplasty for osteoporotic vertebral body compression fractures.Methods Fifty-four patients with osteoporotic vertebral compression fracture treated at our hospital from March,2018 to March,2019 were divided into a study group(n=26)and a control group(n=28).The control group was treated with kyphoplasty,and the observation group with periodic rehabilitation training and kyphoplasty.The Oswestry dysfunction indexes,scores of activity of daily living(ADL),and NRS pain scores were compared between these two groups.Results Before the intervention,there were no statistical differences in the scores of DOI scale,NRS,and ADL between the two groups(all P>0.05).One and three months after the intervention,the DOI scores of Oswestry dysfunction in the study group were(21.42±6.82)and(17.34±5.47),which were significantly lower than those in the control group and those before the intervention(all P<0.05).One and three months after the intervention,the scores of ADL were(70.54±19.42)and(75.67±18.59)in the study group,which were significantly higher than those in the control group and those before the intervention(all P<0.05).One and three months after the intervention,the NRS scores were(4.14±0.83)and(3.73±1.01),which were significantly lower than those in the control group and those before the intervention(all P<0.05).Conclusion Kyphoplasty combined with periodic rehabilitation training for patients osteoporotic vertebral compression fractures can improve their lumbar function,waist pain,and activity of daily life,and has the clinical popularization value,so it is worth being clinically generalized.
作者
沈昳忞
姜宇
荣晓旭
陈萌
Shen Yimin;Jiang Yu;Rong Xiaoxu;Chen Meng(Department of Orthopedics,Wuxi Second Hospital,Nanjing Medical University,Wuxi 214000,China)
出处
《国际医药卫生导报》
2021年第5期756-758,共3页
International Medicine and Health Guidance News
