再发骨质疏松性椎体压缩骨折保守治疗患者出院后生存质量

Life quality in out-patients with recurrent osteoporotic vertebral compression fractures after conservative treatment

目的:对比初次和再发骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fractures,OVCFs)患者保守治疗的生存质量,了解再次骨折对此类患者生存质量各方面的影响。方法:回顾性观察治疗OVCFs后出现再骨折的患者30名(再骨折组)和同时期行保守治疗OVCFs后未发生再骨折的基本条件相似的患者30例(对照组),比较两组出院后3个月时SF-36简明健康健康状况调查表的调查结果。结果:再骨折组治疗后的8个维度均不同程度较对照组变差(均P<0.01)。结论:再骨折组患者的生存质量明显低于对照组,并且会进一步影响患者的心理预期、情绪和社会活动的各个方面。

Objective: To compare the life quality between the initial and recurrent patients with osteoporotic vertebral compression fractures(OVCFs) after conservative treatment, and to explore the infiuential factors on life quality in the recurrent fracture patients.Methods: A total of 30 patients with recurrent fractures after the OVCFs were retrospectively observed. At the same time, 30 initial OVCFs patients with similar basic conditions to the patients in the recurrent fractures group were served as a control group. The data of the SF-36 Concise Health Status Questionnaire in the 2 groups were compared.Results: The eight dimensions of the SF-36 Concise Health Status Questionnaire in the recurrent fracture group were worse than those in the control group(all P<0.01).Conclusion: The life quality for patients with the recurrent fracture is significantly poorer than that in the control group. The patients with recurrent fracture of the OVCFs may further affect their psychological expectation, emotion and social activities.