中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2013年
3期
260-262
,共3页
丁小方%王元利%王书堂%徐海林
丁小方%王元利%王書堂%徐海林
정소방%왕원리%왕서당%서해림
骨质疏松性骨折%椎体成形术%疼痛
骨質疏鬆性骨摺%椎體成形術%疼痛
골질소송성골절%추체성형술%동통
Osteoporosis fractures%Vertebroplasty%Pain
目的 探讨阿仑膦酸钠治疗骨质疏松性脊柱压缩性骨折椎体成形术后残余疼痛的早期疗效. 方法 采用单独用药的方法,观察阿仑膦酸钠对30例老年骨质疏松性脊柱压缩性骨折椎体成形术后残余疼痛的疗效,随机分为治疗组和对照组.两组患者均给予碳酸钙D3治疗,治疗组在此基础上,给予阿仑膦酸钠治疗.两组患者的治疗时间均为6周.疗效评价采用视觉模拟评级法(VAS)对疼痛强度进行测定. 结果 30例患者均获得随访6周.两组末次随访时疼痛改善优良率分别是86.8%和13.2%,治疗组疼痛缓解程度优于对照组,显效率差异有统计学意义(t=3.40,P<0.05). 结论 阿仑膦酸钠治疗骨质疏松性脊柱压缩性骨折椎体成形术后残余疼痛早期作用明显,疗效可靠,为该类患者的治疗以及临床和科研提供了科学参考.
目的 探討阿崙膦痠鈉治療骨質疏鬆性脊柱壓縮性骨摺椎體成形術後殘餘疼痛的早期療效. 方法 採用單獨用藥的方法,觀察阿崙膦痠鈉對30例老年骨質疏鬆性脊柱壓縮性骨摺椎體成形術後殘餘疼痛的療效,隨機分為治療組和對照組.兩組患者均給予碳痠鈣D3治療,治療組在此基礎上,給予阿崙膦痠鈉治療.兩組患者的治療時間均為6週.療效評價採用視覺模擬評級法(VAS)對疼痛彊度進行測定. 結果 30例患者均穫得隨訪6週.兩組末次隨訪時疼痛改善優良率分彆是86.8%和13.2%,治療組疼痛緩解程度優于對照組,顯效率差異有統計學意義(t=3.40,P<0.05). 結論 阿崙膦痠鈉治療骨質疏鬆性脊柱壓縮性骨摺椎體成形術後殘餘疼痛早期作用明顯,療效可靠,為該類患者的治療以及臨床和科研提供瞭科學參攷.
목적 탐토아륜련산납치료골질소송성척주압축성골절추체성형술후잔여동통적조기료효. 방법 채용단독용약적방법,관찰아륜련산납대30례노년골질소송성척주압축성골절추체성형술후잔여동통적료효,수궤분위치료조화대조조.량조환자균급여탄산개D3치료,치료조재차기출상,급여아륜련산납치료.량조환자적치료시간균위6주.료효평개채용시각모의평급법(VAS)대동통강도진행측정. 결과 30례환자균획득수방6주.량조말차수방시동통개선우량솔분별시86.8%화13.2%,치료조동통완해정도우우대조조,현효솔차이유통계학의의(t=3.40,P<0.05). 결론 아륜련산납치료골질소송성척주압축성골절추체성형술후잔여동통조기작용명현,료효가고,위해류환자적치료이급림상화과연제공료과학삼고.
Objective To analyze the early clinical efficacy of alendronate sodium on residual pain after vertebral angioplasty for osteoporotic vertebral compression fractures.Methods By drug single treatment method,a total of 30 elderly patients with residual pain after vertebral angioplasty for osteoporotic vertebral compression fractures were included.Patients were randomly divided into 2 groups:the treatment group and the control group.All patients were given calcium carbonate D3 treatment,and the treatment group was given alendronate sodium treatment additionally.6 weeks after the treatment,visual analogy score (VAS) was used for the evaluation of pain relief.Results All patients were followed up for 6 weeks.At the end of follow-up,the rates of pain relief were 86.8% in treatment group and 13.2% in control group.There was a significant difference in visual analogy scores between the treatment group and the control group[(0.51±0.32),(1.59±1.21) ; t=3.4,P<0.001],which showed the degree of pain relief was higher in the treatment group than in control group.Conclusions Alendronate sodium is effective and reliable for the treatment of residual pain after vertebral angioplasty for osteoporotic vertebral compression fractures.This study provides the scientific reference for the treatment and research of residual pain after vertebral angioplasty for osteoporotic vertebral compression fractures.