中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
13期
98-100
,共3页
床托快速复位法%胸腰椎压缩骨折%椎体前缘高度%VAS评分
床託快速複位法%胸腰椎壓縮骨摺%椎體前緣高度%VAS評分
상탁쾌속복위법%흉요추압축골절%추체전연고도%VAS평분
Bed support fast reposition method%Thoracolumbar compression fracture%Height of vertebral anterior edge%VAS score
目的：观察床托快速复位法治疗胸腰椎压缩骨折的效果。方法选取2012年8月~2014年8月入院治疗的胸腰椎压缩骨折患者70例作为研究对象，采用随机数字表将患者分为对照组和观察组，对照组行垫枕复位法，观察组行床托快速复位法。采用视觉模拟评分(VAS)和日常功能活动受限程度评分法评估两组的疼痛和活动功能，记录两组治疗前后的椎体前缘高度、伤椎高度矫正率、脊柱后凸角度(脊柱Cobb角)。结果观察组治疗后的VAS评分、功能评分为(1.31±0.82)、(0.86±0.23)分，显著低于对照组(P<0.05)；观察组治疗后的椎体前缘高度、伤椎高度矫正率分别为(0.81±0.13)cm、(89.38±4.52)%，显著高于对照组，脊柱Cobb角为(4.48±2.55)o，显著小于对照组(P<0.05)。观察组的疼痛缓解时间、下床活动时间、住院时间分别为(6.26±1.15)、(12.86±1.33)、(18.08±2.01)d，均显著短于对照组(P<0.05)。结论床托快速复位法治疗胸腰椎压缩骨折可减轻患者的疼痛程度，促使伤椎恢复正常高度，提高其活动功能。
目的：觀察床託快速複位法治療胸腰椎壓縮骨摺的效果。方法選取2012年8月~2014年8月入院治療的胸腰椎壓縮骨摺患者70例作為研究對象，採用隨機數字錶將患者分為對照組和觀察組，對照組行墊枕複位法，觀察組行床託快速複位法。採用視覺模擬評分(VAS)和日常功能活動受限程度評分法評估兩組的疼痛和活動功能，記錄兩組治療前後的椎體前緣高度、傷椎高度矯正率、脊柱後凸角度(脊柱Cobb角)。結果觀察組治療後的VAS評分、功能評分為(1.31±0.82)、(0.86±0.23)分，顯著低于對照組(P<0.05)；觀察組治療後的椎體前緣高度、傷椎高度矯正率分彆為(0.81±0.13)cm、(89.38±4.52)%，顯著高于對照組，脊柱Cobb角為(4.48±2.55)o，顯著小于對照組(P<0.05)。觀察組的疼痛緩解時間、下床活動時間、住院時間分彆為(6.26±1.15)、(12.86±1.33)、(18.08±2.01)d，均顯著短于對照組(P<0.05)。結論床託快速複位法治療胸腰椎壓縮骨摺可減輕患者的疼痛程度，促使傷椎恢複正常高度，提高其活動功能。
목적：관찰상탁쾌속복위법치료흉요추압축골절적효과。방법선취2012년8월~2014년8월입원치료적흉요추압축골절환자70례작위연구대상，채용수궤수자표장환자분위대조조화관찰조，대조조행점침복위법，관찰조행상탁쾌속복위법。채용시각모의평분(VAS)화일상공능활동수한정도평분법평고량조적동통화활동공능，기록량조치료전후적추체전연고도、상추고도교정솔、척주후철각도(척주Cobb각)。결과관찰조치료후적VAS평분、공능평분위(1.31±0.82)、(0.86±0.23)분，현저저우대조조(P<0.05)；관찰조치료후적추체전연고도、상추고도교정솔분별위(0.81±0.13)cm、(89.38±4.52)%，현저고우대조조，척주Cobb각위(4.48±2.55)o，현저소우대조조(P<0.05)。관찰조적동통완해시간、하상활동시간、주원시간분별위(6.26±1.15)、(12.86±1.33)、(18.08±2.01)d，균현저단우대조조(P<0.05)。결론상탁쾌속복위법치료흉요추압축골절가감경환자적동통정도，촉사상추회복정상고도，제고기활동공능。
Objective To observe the effect of bed support fast reposition method in the treatment of thoracolumbar compression fracture. Methods 70 patients with thoracolumbar compression fracture admitted to our hospital were se-lected as research subjects from August 2012 to August 2014 and they were divided into control group and observation group using the random number table.Control group was given bolster reposition method,and observation group was giv-en bed support fast reposition method.VAS score and score of daily functional activity limitation method were used to evaluate pain and activity and function,and height of vertebral anterior edge,correction rate of injured vertebrae height, and kyphosis angle (spinal Cobb angle) before and after treatment in two groups. Results VAS score and function score in observation group after treatment [(1.31±0.82) and (0.86±0.23) points respectively] were significantly lower than those in control group (P<0.05);height of vertebral anterior edge and correction rate of injured vertebrae height [ (0.81±0.13) cm and (89.38±4.52)%respectively] were significantly higher than those in control group (P<0.05).Spinal Cobb an-gle [(4.48±2.55)o] in observation group was significantly smaller than that in control group (P<0.05).Pain alleviating time, time of out-of-bed activity and hospitalization time [(6.26±1.15),(12.86±1.33) and (18.08±2.01) d respectively] were sig-nificantly shorter than those in control group (P<0.05). Conclusion Bed support fast reposition method in the treatment of thoracolumbar compression fracture can alleviate patients’pain degree,promote injured vertebrae to recover to normal height,and improve its activity function.
