重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2015年
18期
2515-2517
,共3页
骨质疏松%脊柱骨折%经皮椎体后凸成形术%生活质量
骨質疏鬆%脊柱骨摺%經皮椎體後凸成形術%生活質量
골질소송%척주골절%경피추체후철성형술%생활질량
osteoporosis%spinal fractures%Percutaneous kyphoplasty%ouality of life
目的：探讨陈旧性骨质疏松椎体压缩性骨折（OVCF）患者实施保守治疗及经皮椎体后凸成形术（PKP）治疗的临床效果。方法选择2011年1月至2014年3月48例OVCF患者，按照治疗方法分为对照组和观察组，对照组22例患者实施保守治疗，观察组26例患者实施PKP治疗。对比两组患者治疗前后生活质量评分（SF‐36）、视觉疼痛模拟评分（VAS）、Oswestry功能障碍指数及影像学结果。结果观察组与对照组治疗前后V A S评分差异均有统计学意义（ F＝84．393，P＝0．019；F＝61．388， P＝0．028）；观察组V A S评分治疗后1 d、6个月均明显低于对照组，差异有统计学意义（ t＝－18．843，P＝0．000；t＝－17．174， P＝0．000）。观察组S F‐36总分为（85．18±8．01）分，明显高于对照组（74．29±6．93）分，差异有统计学意义（ t＝8．569，P＝0．006）。观察组治疗后Oswestry功能障碍评分均优于对照组，差异有统计学意义（t＝6．217，P＝0．010）；观察组治疗后1 d、6个月椎体中间高度分别为（19．72±2．44）mm、（19．70±2．17）mm均高于治疗前（F＝23．221，P＝0．028）。结论 PKP术式可以有效改善患者疼痛及生活质量，值得临床推广应用。
目的：探討陳舊性骨質疏鬆椎體壓縮性骨摺（OVCF）患者實施保守治療及經皮椎體後凸成形術（PKP）治療的臨床效果。方法選擇2011年1月至2014年3月48例OVCF患者，按照治療方法分為對照組和觀察組，對照組22例患者實施保守治療，觀察組26例患者實施PKP治療。對比兩組患者治療前後生活質量評分（SF‐36）、視覺疼痛模擬評分（VAS）、Oswestry功能障礙指數及影像學結果。結果觀察組與對照組治療前後V A S評分差異均有統計學意義（ F＝84．393，P＝0．019；F＝61．388， P＝0．028）；觀察組V A S評分治療後1 d、6箇月均明顯低于對照組，差異有統計學意義（ t＝－18．843，P＝0．000；t＝－17．174， P＝0．000）。觀察組S F‐36總分為（85．18±8．01）分，明顯高于對照組（74．29±6．93）分，差異有統計學意義（ t＝8．569，P＝0．006）。觀察組治療後Oswestry功能障礙評分均優于對照組，差異有統計學意義（t＝6．217，P＝0．010）；觀察組治療後1 d、6箇月椎體中間高度分彆為（19．72±2．44）mm、（19．70±2．17）mm均高于治療前（F＝23．221，P＝0．028）。結論 PKP術式可以有效改善患者疼痛及生活質量，值得臨床推廣應用。
목적：탐토진구성골질소송추체압축성골절（OVCF）환자실시보수치료급경피추체후철성형술（PKP）치료적림상효과。방법선택2011년1월지2014년3월48례OVCF환자，안조치료방법분위대조조화관찰조，대조조22례환자실시보수치료，관찰조26례환자실시PKP치료。대비량조환자치료전후생활질량평분（SF‐36）、시각동통모의평분（VAS）、Oswestry공능장애지수급영상학결과。결과관찰조여대조조치료전후V A S평분차이균유통계학의의（ F＝84．393，P＝0．019；F＝61．388， P＝0．028）；관찰조V A S평분치료후1 d、6개월균명현저우대조조，차이유통계학의의（ t＝－18．843，P＝0．000；t＝－17．174， P＝0．000）。관찰조S F‐36총분위（85．18±8．01）분，명현고우대조조（74．29±6．93）분，차이유통계학의의（ t＝8．569，P＝0．006）。관찰조치료후Oswestry공능장애평분균우우대조조，차이유통계학의의（t＝6．217，P＝0．010）；관찰조치료후1 d、6개월추체중간고도분별위（19．72±2．44）mm、（19．70±2．17）mm균고우치료전（F＝23．221，P＝0．028）。결론 PKP술식가이유효개선환자동통급생활질량，치득림상추엄응용。
Objective To investigate comparative analysis of PKP and conservative treatment for old osteoporotic vertebral compression fractures ,to provide a reference for clinical treatment .Methods From January 2011 to March 2014 48 cases of OVCF patients were selected ,they were divided into two groups according to treatment which were observation group (26 cases) and con‐trol group (22 patients) ,control group with the implementation of conservative treatment ,observation group was implemented with surgical treatment for patients with PKP .Two groups of patients before and after treatment quality of life scores (SF‐36) ,pain vis‐ual analogue scale (VAS) ,Oswestry Disability Index and radiographic findings were compared .Results The observation group and the control group before and after treatment VAS scores were significantly different (F= 84 .393 ,P= 0 .019 ;F= 61 .388 ,P=0 .028);VAS score in observation group after treatment 1d ,6 months were significantly lower than the control group ,the difference was statistically significant (t= -18 .843 ,P=0 .000;t= -17 .174 ,P=0 .000);SF‐36 scores in the observation group was 85 .18 ± 8 .01 ,significantly higher than 74 .29 ± 6 .93 ,the difference was statistically significant (t=8 .569 ,P=0 .006);in observation group after treatment Oswestry disability scores compared with the control group ,the difference was statistically significant (t=6 .217 , P=0 .010);in the observation group after 1 d ,6 months the middle of vertebral height was (19 .72 ± 2 .44) mm ,(19 .70 ± 2 .17) mm ,were higher than before treatment ,the difference was statistically significant (F=23 .221 ,P=0 .028) .Conclusion PKP can improve pain and quality of life for patients ,which is worthy of clinical application .
