经皮穿刺椎体后突成形术对椎体压缩骨折患者疼痛的缓解作用

发布时间：2018-10-26 18:26

【摘要】：目的探讨经皮穿刺椎体后突成形术(PKP)是否可以缓解脊柱压缩骨折患者腰背部疼痛。方法选择骨质疏松性脊柱压缩骨折患者68例为研究对象,依据患者的治疗意愿分为PKP组22例和保守组46例。PKP组入院后给予PKP治疗,保守组入院后严格卧床,两组患者均给予正规抗骨质疏松治疗。记录2组患者治疗前、治疗后1、4、12、24和48 w疼痛评分。结果两组共66例患者完成48 w的随访,患者总疼痛缓解程度在第4周后PKP组明显好于保守组(P0.05);夜间休息疼痛缓解程度在第12周后PKP组明显好于保守组(P0.05)。结论 PKP可显著缓解骨质疏松性脊柱压缩性骨折患者的总疼痛和夜间休息痛。
[Abstract]:Objective to investigate whether percutaneous vertebroplasty (PKP) can relieve lumbar and back pain in patients with spinal compression fracture. Methods Sixty-eight patients with osteoporotic spinal compression fracture were divided into PKP group (n = 22) and conservative group (n = 46) according to their intention of treatment. PKP group was treated with PKP after admission, and conservative group was strictly bedridden after admission. Both groups were given regular anti-osteoporosis treatment. Pain scores at 24 and 48 weeks before and after treatment were recorded. Results 66 patients in both groups were followed up for 48 weeks. The degree of total pain relief in the PKP group was significantly better than that in the conservative group after the 4th week (P0.05), and the degree of pain relief in the PKP group was significantly better than that in the conservative group after the 12th week (P0.05). Conclusion PKP can significantly relieve the total pain and nocturnal rest pain in patients with osteoporotic spinal compression fracture.
【作者单位】： 杭州师范大学附属医院骨科;浙江省中医院骨科;
【基金】：浙江省自然科学基金项目(No.Y20110746)
【分类号】：R687.3

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