[1]郭运岭,李 蕊,王 雷.经皮椎体成形术联合五禽戏运动疗法治疗骨质疏松性胸腰椎压缩性骨折的临床疗效分析[J].医学信息,2019,32(01):119-121.[doi:10.3969/j.issn.1006-1959.2019.01.036]
　GUO Yun-ling,LI Rui,WANG Lei.Clinical Analysis of Percutaneous Vertebroplasty Combined with Wuqinxi Exercise Therapy for Osteoporotic Thoracolumbar Vertebral Compression Fracture[J].Journal of Medical Information,2019,32(01):119-121.[doi:10.3969/j.issn.1006-1959.2019.01.036]
点击复制

经皮椎体成形术联合五禽戏运动疗法治疗骨质疏松性胸腰椎压缩性骨折的临床疗效分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年01期
页码:
119-121
栏目:
临床研究
出版日期:
2019-01-01

文章信息/Info

Title:
Clinical Analysis of Percutaneous Vertebroplasty Combined with Wuqinxi Exercise Therapy for Osteoporotic Thoracolumbar Vertebral Compression Fracture
文章编号:
1006-1959（2019）01-0119-03
作者:
郭运岭1; 李 蕊2; 王 雷1
1.秦皇岛市中医医院骨伤科，河北 秦皇岛 066000；2.秦皇岛市第一医院，河北 秦皇岛 066000
Author(s):
GUO Yun-ling1; LI Rui2; WANG Lei1
1.Department of Orthopaedics,Qinhuangdao Traditional Chinese Medicine Hospital,Qinhuangdao 066000,Hebei,China;2.Qinhuangdao First Hospital,Qinhuangdao 066000,Hebei,China
关键词:
五禽戏; 经皮椎体成形术; 骨质疏松性胸腰椎压缩性骨折
Keywords:
Wuqinxi; Percutaneous vertebroplasty; Osteoporotic thoracolumbar vertebral compression fracture
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2019.01.036
文献标志码:
A
摘要:
目的 观察经皮椎体成形术联合五禽戏运动疗法治疗骨质疏松性胸腰椎压缩性骨折的疗效。方法 选择我院收治的73例骨质疏松性胸腰椎压缩性骨折患者，随机分为观察组35例和对照组38例。对照组单纯行PVP治疗，观察组在此基础上联合五禽戏运动治疗，比较两组患者术前、术后及术后1年VAS评分、椎体前缘高度、Barthel指数和复诊率。结果 手术前后两组患者VAS评分、椎体前缘高度、Barthel指数比较，结果无统计学差异（P＞0.05）；术后1年观察组患者VAS评分低于对照组[（3.24±1.10）分 vs （4.01±1.88）分，椎体前缘高度高于对照组[（1.95±0.25）cm vs （1.83±0.23）cm]，Barthel指数高于对照组[（91.54±3.75） vs （81.03±4.02）]，1年内复诊率低于对照组（5.71% vs 26.32%），结果均有统计学差异（P＜0.05）。结论 经皮椎体成形术联合五禽戏运动疗法治疗骨质疏松性胸腰椎压缩性骨折，能有效减轻患者腰部疼痛，避免椎体再次受到压缩，有助于改善患者日常生活质量，降低再次腰痛复诊率。
Abstract:
Objective Toobserve the effect of percutaneous vertebroplasty combined with Wuqinxi exercise therapy on osteoporotic thoracolumbar vertebral compression fracture.Methods 73 patients with osteoporotic thoracolumbar vertebral compression fractures admitted to our hospital were randomly divided into observation group (35 cases) and control group (38 cases). The control group was treated with PVP alone. On the basis of this, the VAS score, the height of the anterior edge of the vertebral body, the Barthel index and the rate of rediagnosis were compared between the two groups before, after and one year after operation.Results There was no significant difference in VAS score, anterior height of vertebral body and Barthel index between the two groups before and after operation (P>0.05). One year after operation, the VAS score in the observation group was lower than that in the control group [(3.24 ±1.10) vs, (4.01 ±1.88), the anterior height of vertebral body was higher than that in the control group [(1.95 ±0.25) cm vs (1.83 ±0.23) cm]. The Barthel index was higher than that of the control group [(91.54 ±3.75) vs (81.03 ±4.02)], and the rate of follow-up within one year was lower than that of the control group (5.71% vs 26.32%),the results were statistically significant (P<0.05).Conclusion Percutaneous vertebroplasty combined with Wuqinxi exercise therapy for osteoporotic thoracolumbar vertebral compression fractures can effectively alleviate lumbar pain and avoid compression of the vertebral body again, which can improve the quality of daily life of patients and reduce the rate of recurrent low back pain.

参考文献/References:

[1]梅伟.胸腰椎骨折临床诊疗中的热点问题[J].中医正骨,2016(7):1-5.
[2]朱云华,李宏斌,王晓东,等.老年骨质疏松性椎体骨折行经皮椎体成形术与椎体后凸成形术疗效比较[J].交通医学,2014,28(3):247.
[3]谢振钧,李仕国,陈广滨.经皮椎体成形术及经皮椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折的效果[J].中国老年学杂志,2013,33(13):3200-3201.
[4]杨佳生,何春军,赖以毅,等.椎体压缩性骨折高度恢复与治疗效果的相关性研究[J].岭南现代临床外科,2017,17(1):99-103.
[5]黄杏.老年骨质疏松性椎体压缩骨折患者骨密度与中医体质类型相关性研究[J].中医临床研究,2017,9(12):88.
[6]邹厚辉,范超领,葛继荣.从肝论治原发性骨质疏松症的研究进展[J].中国骨质疏松杂志,2016,22(6):767.
[7]曹艳霞.中老年人骨质疏松性骨折的危险因素与干预措施[J].吉林医学,2016,35(8):1705-1706.
[8]邱添莹.健身气功·五禽戏结合药物治疗轻中度抑郁症的研究[D].南京中医药大学,2011.
[9]赵统.五禽戏之鹿戏健身养生作用分析[J].河南中医,2013,33(7):1083-1084.
[10]司卫兵,秦卫,胡丹,等.腰背部软组织在椎体成形术治疗胸腰椎骨质疏松性骨折术后效果中的影响[J].中华创伤骨科杂志,2018,20(2):145.
[11]王鹏云.健身气功五禽戏对绝经女性腰椎骨密度的影响[D].广西中医学院,2011.

相似文献/References:

[1]庞 渊,张 庆,阿伍提·艾克木,等.经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的 疗效分析[J].医学信息,2019,32(11):116.[doi:10.3969/j.issn.1006-1959.2019.11.033]
　PANG Yuan,ZHANG Qing,Awti Aikemu,et al.Therapeutic Effect of Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fractures[J].Journal of Medical Information,2019,32(01):116.[doi:10.3969/j.issn.1006-1959.2019.11.033]
[2]李海龙,刘成升,刘艺明,等.PVP与PKP经单侧入路治疗骨质疏松性椎体压缩骨折的疗效比较[J].医学信息,2021,34(04):136.[doi:10.3969/j.issn.1006-1959.2021.04.036]
　LI Hai-long,LIU Cheng-sheng,LIU Yi-ming,et al.Comparison of the Curative Effect of PVP and PKP in the Treatment of Osteoporotic Vertebral Compression Fractures via Unilateral Approach[J].Journal of Medical Information,2021,34(01):136.[doi:10.3969/j.issn.1006-1959.2021.04.036]
[3]刘长志.经皮椎体成形术对骨质疏松性椎体压缩骨折患者VAS及ODI评分的影响[J].医学信息,2019,32(22):112.[doi:10.3969/j.issn.1006-1959.2019.22.036]
　LIU Chang-zhi.Effect of Percutaneous Vertebroplasty on VAS and ODI Scores in Patients with Osteoporotic Vertebral Compression Fractures[J].Journal of Medical Information,2019,32(01):112.[doi:10.3969/j.issn.1006-1959.2019.22.036]
[4]蔡 鑫,俞鹏飞,韩 松,等.两种骨水泥推注技术治疗椎体压缩性骨折的临床疗效[J].医学信息,2020,33(23):80.[doi:10.3969/j.issn.1006-1959.2020.23.023]
　CAI Xin,YU Peng-fei,HAN Song,et al.The Clinical Effect of Two Bone Cement Injection Techniques in the Treatment of Vertebral Compression Fractures[J].Journal of Medical Information,2020,33(01):80.[doi:10.3969/j.issn.1006-1959.2020.23.023]
[5]方云生.骨质疏松治疗仪联合经皮椎体成形术治疗老年骨质疏松性椎体压缩性骨折的效果[J].医学信息,2021,34(16):137.[doi:10.3969/j.issn.1006-1959.2021.16.038]
　FANG Yun-sheng.The Effect of Osteoporosis Treatment Instrument with Percutaneous Vertebroplasty in Treating Senile Osteoporotic Vertebral Compression Fractures[J].Journal of Medical Information,2021,34(01):137.[doi:10.3969/j.issn.1006-1959.2021.16.038]
[6]廖永平,徐保生,翁佳斌,等.经皮椎体球囊扩张成形术治疗骨质疏松性椎体压缩性骨折临床疗效及对椎体高度丢失的影响[J].医学信息,2024,37(04):124.[doi:10.3969/j.issn.1006-1959.2024.04.022]
　LIAO Yong-ping,XU Bao-sheng,WENG Jia-bin,et al.Clinical Efficacy of Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fractures and its Effect on Vertebral Height Loss[J].Journal of Medical Information,2024,37(01):124.[doi:10.3969/j.issn.1006-1959.2024.04.022]

更新日期/Last Update: 2019-01-22