摘要
目的:探讨悬吊训练配合阿仑膦酸钠对原发性骨质疏松症手术患者术后腰腹肌肌力与疼痛程度的影响。方法:选择60例骨质疏松性椎体压缩骨折(OVCF)患者应用随机数字表法进行分组。两组患者均应用椎体成形手术治疗。对照组在术后采用阿仑膦酸钠辅助治疗;观察组术后采用悬吊训练配合阿仑膦酸钠治疗。比较两组康复效果,治疗前后疼痛程度、腰腹肌肌力、骨密度水平以及骨代谢指标水平。结果:观察组康复良好率较对照组明显更好(P<0.05)。相较对照组,观察组治疗后1周、2周与4周VAS评分均明显更低(P<0.05)。相较对照组,观察组治疗后1周、2周与4周腰腹肌肌力得分均明显更高(P<0.05)。相较对照组,观察组治疗后骨密度明显更高(P<0.05)。相较对照组,观察组治疗后各项骨代谢指标[血清Ⅰ型前胶原氨基末端前肽(PINP)、Ⅰ型胶原羧基端肽β特殊序列(β-CTX)、25羟基维生素D[25(OH)D]水平均明显改善(P<0.05)。结论:悬吊训练配合阿仑膦酸钠治疗可显著提升原发性骨质疏松症手术患者术后康复效果,缓解其术后疼痛程度,改善患者腰腹肌肌力与骨代谢水平,同时还能提升患者术后骨密度,临床价值显著。
Objective:To investigate the effects of suspension training combined with alendronate sodium on the muscle strength and pain degree of lumbar and abdominal muscles in patients with primary osteoporosis after surgery.Methods:60 patients with osteoporotic vertebral compression fracture(OVCF)were selected and grouped by random number table method.Both groups were treated with vertebroplasty.The control group was treated with alendronate sodium.The observation group was treated with suspension training and alendronate sodium after operation.The rehabilitation effect,pain degree,muscle strength of lumbar and abdominal muscles,bone mineral density and bone metabolism index were compared between the two groups before and after treatment.Results:The recovery rate of observation group was significantly better than that of control group(P<0.05).Compared with the control group,the VAS scores of the observation group were significantly lower at 1,2 and 4 weeks after treatment(P<0.05).Compared with the control group,the muscle strength scores of lumbar and abdominal muscles in the observation group were significantly higher at 1,2 and 4 weeks after treatment(P<0.05).Compared with the control group,the bone mineral density of the observation group was significantly higher after treatment(P<0.05).Compared with the control group,the bone metabolism indexes[serum amino terminal propeptide(PINP),carboxyl terminal peptideβspecial sequence(β-CTX)and 25 hydroxyvitamin D[25(OH)D]levels of type I procollagen in the observation group were significantly improved after treatment(P<0.05).Conclusion:Suspension training combined with alendronate sodium therapy can significantly improve the postoperative rehabilitation effect of patients with primary osteoporosis surgery,relieve the degree of postoperative pain,improve the muscle strength and bone metabolism of patients with lumbar and abdominal muscle,and also improve the postoperative bone mineral density of patients,which has significant clinical value.
作者
黎佩仪
黄炳杰
貌扬萍
Li Peiyi(Department of Rehabilitation Medicine,Dongguan East Central Hospital,Dongguan 523000)
出处
《黑龙江医药》
CAS
2024年第6期1296-1300,共5页
Heilongjiang Medicine journal
基金
东莞市社会发展科技项目(项目编号:20231800920352)。
关键词
悬吊训练
阿仑膦酸钠
原发性骨质疏松症
腰腹肌肌力
疼痛程度
Suspension Training
Alendronate Sodium
Primary Osteoporosis
Muscle Strength of Lumbar and Abdominal Muscles
Pain Level
