摘要
目的分析经皮椎体后凸成形术治疗老年骨质疏松性脊柱骨折的疗效。方法方便选取该院2017年2月—2018年3月收治的老年骨质疏松性脊柱骨折患者60例作为研究对象,将60例患者分为两组,对照组患者采取保守治疗,实验组患者采取经皮椎体后凸成形术治疗,对比两组患者的治疗效果等。结果实验组患者VAS评分为(1.24±0.67)分,ODI评分为(3.68±0.24)分,椎体高度丢失率为(10.47±9.57)%,C0bb氏角为(5.27±2.39)°,镇痛药物评分为(0.44±0.27)分,对照组患者VAS评分为(3.57±1.27)分,ODI评分为(11.42±2.17)分,椎体高度丢失率为(27.69±10.47)%,C0bb氏角为(12.33±2.69)°,镇痛药物评分为(1.88±0.63)分,实验组患者治疗后各项指标明显优于对照组,差异有统计学意义(P<0.05)。实验组患者治疗有效率为93.33%,对照组患者治疗有效率为56.67%,实验组患者治疗有效率明显高于对照组,差异有统计学意义(χ~2=11.025,P<0.06)。结论为老年骨质疏松性脊柱骨折患者采取经皮椎体后凸成形手术治疗,能够有效提高临床治疗效果,促进患者预后,消除患者的疼痛,提高患者脊柱功能,值得临床推广应用。
Objective To analyze the efficacy of percutaneous kyphoplasty in the treatment of osteoporotic spinal fractures in the elderly. Methods 60 patients with senile osteoporotic spinal fractures who were admitted to the hospital from Februaty 2017 to March 2018 were enrolled. 60 patients were divided into two groups. The control group received conservative treatment. Percutaneous kyphoplasty was performed to compare the therapeutic effects of the two groups of patients. Results The VAS score in the experimental group was （1.24±0.67） points, the ODI score was （3.68±0.24） points, the height loss rate of the vertebral body was （10.47±9.57）%, and the CObb angle was （5.27±2.39）°. The drug score was （0.44±0.27） points. In the control group, the VAS score was （3.57±1.27） points, the ODI score was （11.42±2.17） points, the vertebral height loss rate was （27.69±10.47）%, and the CObb angle was （12.33±2.69）°, the analgesic drug score was （1.88±0.63） points. All the indexes in the experimental group were significantly better than those in the control group after treatment, the difference with statistically significant （P〈0.05）. The effective rate was 93.33% in the experimental group and 56.67% in the control group. The treatment efficiency in the experimental group was significantly higher than that in the control group, the difference was statistically significant（χ2=1 1.025,P〈0.06）. Conclusion Percutaneous kyphoplasty for elderly patients with osteoporotic spine fractures can effectively improve the clinical treatment effect, promote the prognosis of patients, eliminate the pain of patients, and improve the spine function of patients. It is worthy of clinical application.
作者
吕宇明
LYU Yu-ming(Department of Orthopaedics,People＇s Hospital of Lijiang,Lijiang,Yunnan Province,674100 China)
出处
《中外医疗》
2018年第25期48-49,52,共3页
China & Foreign Medical Treatment
