本文選題：經(jīng)皮椎體后凸成形術(shù) + 骨質(zhì)疏松椎體壓縮性骨折�。� 參考：《中國老年學(xué)雜志》2017年09期

【摘要】：目的探討經(jīng)皮椎體后凸成形術(shù)(PKP)對老年新鮮性骨質(zhì)疏松椎體壓縮性骨折(OVCF)患者疼痛及生活質(zhì)量的影響。方法新鮮性O(shè)VCF老年患者110例,隨機(jī)數(shù)字表法分為研究組與對照組,各55例。對照組采用常規(guī)保守治療,研究組在此基礎(chǔ)上應(yīng)用PKP治療,對比兩組治療前與治療3個(gè)月后椎體高度、Cobb角及Oswestry功能障礙評分,并對疼痛數(shù)字評分量表(NRS)及生活質(zhì)量綜合評估問卷(GQOLI-74)進(jìn)行評價(jià)。結(jié)果治療后,研究組椎體高度顯著高于對照組,Oswestry功能障礙評分及NRS疼痛評分顯著低于對照組(P0.05),兩組Cobb角差異無統(tǒng)計(jì)學(xué)意義(P0.05)。治療3個(gè)月研究組后軀體功能、社會功能、生活狀態(tài)與心理功能評分均高于對照組(P0.05)。結(jié)論 PKP治療老年新鮮性O(shè)VCF可以有效降低患者的疼痛閾值,提高其生活質(zhì)量,適于臨床推廣。
[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.

【作者單位】： 蘇州大學(xué)附屬第一醫(yī)院骨外科;
【分類號】：R580;R687.3

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