PVP与PKP治疗老年骨质疏松性压缩性骨折早期缓解疼痛的效果对比

发布时间：2018-05-27 06:05

本文选题：PVP与PKP + 骨质疏松性压缩性骨折　；参考：《河北医科大学》2015年硕士论文

【摘要】：目的:通过患者术前与术后第一天疼痛程度的评分,观察PVP与PKP治疗老年骨质疏松性压缩性骨折早期缓解疼痛的效果对比方法:选择我院2012年9月至2013年12月在我院骨科住院的患者。1、年龄大于55岁2、单纯由骨质疏松症引起的胸腰椎脆性压缩性骨折3、除外脊椎血管瘤、骨髓瘤、溶骨性转移瘤引起的病理性骨折、除外严重创伤引起的胸腰椎暴力骨折。4、行PVP或PKP手术治疗的患者。记录每位患者的基本情况包括:性别、年龄、体重、既往病史、有无外伤病史。入院后对患者疼痛程度采用数字分级法(NRS)进行评分,PVP或PKP手术治疗后再次采用数字分级法(NRS)进行评分。共有患者56例,59椎体个,年龄58~88岁(平均69.5岁),行PvP组35例,男性13例,女22例;行pkp组21例男性5例;胸椎25个、腰椎34个,4例为陈旧性骨折。将56例患者分成两组:PVP组和PKP组,其中PVP组患者共35例,随机抽取21例。对PVP与PKP治疗老年骨质疏松性压缩性骨折早期缓解疼痛的效果进行对比。应用SPSS15.0软件对资料进行分析,计量资料采用t检验,检验水准为0.05,确定p值。同时统计骨水泥渗漏的百分比,分析骨水泥渗漏对患者术后疼痛的影响。结果:1 PVP与PKP治疗老年骨质疏松性压缩性骨折早期缓解疼痛的效果对比,根据术后第一天患者疼痛缓解程度的数字分级法,两种手术方式对比术后第一天对疼痛的缓解程度比较没有统计学意义(P0.05)。PVP与PKP两种手术方式,均能有效缓解患者早期疼痛2骨水泥渗漏不是患者术后早期疼痛的主要原因。结论:PVP与PKP治疗老年骨质疏松性压缩性骨折早期缓解疼痛的效果相当。
[Abstract]:Objective: to evaluate the severity of pain before and after operation. To observe the effect of PVP and PKP in the treatment of senile osteoporotic Compression fracture in the early stage of pain Relief methods: select the patients in our hospital from September 2012 to December 2013, who were hospitalized in our orthopedic department, aged more than 55 years, 2 years old, only by bone thinning. Thoracolumbar brittle compression fractures caused by pine syndrome, except for spinal hemangiomas, Myeloma, osteolytic metastases caused by pathological fractures, except severe trauma caused by thoracolumbar violence fracture. 4 patients undergoing PVP or PKP surgery. Basic records of each patient include gender, age, weight, past medical history, and any history of trauma. After admission, the patients' pain degree was evaluated by digital grading method (NRS). A total of 56 patients with 59 vertebrae, aged 58 to 88 years (mean 69.5 years old), were treated with PvP in 35 patients (13 males and 22 females), 21 patients in pkp group (5 males), 25 thoracic vertebrae (25 patients) and 34 lumbar vertebrae (4 old fractures). 56 patients were divided into two groups: one group was divided into two groups: PVP group (n = 35) and PKP group (n = 21). To compare the effect of PVP and PKP in the treatment of senile osteoporotic compression fracture. SPSS15.0 software was used to analyze the data. T test was used to measure the data. The test level was 0.05 and the value of p was determined. At the same time, the percentage of bone cement leakage was counted and the effect of bone cement leakage on postoperative pain was analyzed. Results the effect of PVP and PKP on early pain relief of senile osteoporosis compression fracture was compared. According to the digital classification of pain relief degree of patients on the first day after operation, There was no significant difference in the degree of pain relief between the two surgical methods on the first day after operation. There were no significant differences between two kinds of surgical methods: P0.05, PVP and PKP, both of which could effectively relieve the early pain of patients. 2 bone cement leakage was not the main cause of early postoperative pain. Conclusion the effect of PKP on pain relief in elderly patients with osteoporosis compression fracture is similar.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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