经皮椎体后凸成形术对老年新鲜性骨质疏松椎体压缩性骨折患者疼痛及生活质量的影响

发布时间：2018-05-07 06:39

本文选题：经皮椎体后凸成形术 + 骨质疏松椎体压缩性骨折　；参考：《中国老年学杂志》2017年09期

【摘要】：目的探讨经皮椎体后凸成形术(PKP)对老年新鲜性骨质疏松椎体压缩性骨折(OVCF)患者疼痛及生活质量的影响。方法新鲜性OVCF老年患者110例,随机数字表法分为研究组与对照组,各55例。对照组采用常规保守治疗,研究组在此基础上应用PKP治疗,对比两组治疗前与治疗3个月后椎体高度、Cobb角及Oswestry功能障碍评分,并对疼痛数字评分量表(NRS)及生活质量综合评估问卷(GQOLI-74)进行评价。结果治疗后,研究组椎体高度显著高于对照组,Oswestry功能障碍评分及NRS疼痛评分显著低于对照组(P0.05),两组Cobb角差异无统计学意义(P0.05)。治疗3个月研究组后躯体功能、社会功能、生活状态与心理功能评分均高于对照组(P0.05)。结论 PKP治疗老年新鲜性OVCF可以有效降低患者的疼痛阈值,提高其生活质量,适于临床推广。
[Abstract]:Objective to investigate the effect of percutaneous kyphoplasty (PKP) on the pain and quality of life in elderly patients with fresh osteoporotic vertebral compression fracture (OVCF). Methods 110 elderly patients with fresh OVCF were divided into study group and control group, each with 55 cases. The control group was treated with conventional conservative treatment, and the study group applied PKP on this basis. The vertebral height, Cobb angle and Oswestry dysfunction score were compared between the two groups before and 3 months after treatment, and the pain digital score scale (NRS) and the quality of life comprehensive assessment questionnaire (GQOLI-74) were evaluated. Results after treatment, the vertebral height of the study group was significantly higher than that of the control group, and the Oswestry dysfunction score and the NRS pain score were significant. Compared with the control group (P0.05), there was no significant difference in the Cobb angle between the two groups (P0.05). The score of body function, social function, life state and psychological function after 3 months of treatment was higher than that of the control group (P0.05). Conclusion PKP treatment of fresh OVCF in the elderly can effectively reduce the pain threshold of the patients, improve the quality of life, and be suitable for clinical promotion.

【作者单位】：苏州大学附属第一医院骨外科;
【分类号】：R580;R687.3

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