老年骨质疏松性胸腰椎压缩骨折的综合康复治疗

The Comprehensive Rehabilitation Therapy of Elderly Patients with Osteoporotic Thoracolumbar Vertebral Compression Fractures

目的探讨老年骨质疏松性胸腰椎压缩骨折综合康复治疗的临床疗效。方法胸腰椎骨质疏松性压缩骨折患者148例,全部病例无癌肿与甲状腺、肝肾器质性病变。应用抗骨质疏松药物、中频电疗结合早期医疗体育锻炼进行综合康复治疗。治疗4周后、治疗12周后用林宏生等计分分级方法判定临床疗效。结果全部病例在治疗4周后优(7～8)54例,良(5～6)72例,差(<5)22例,优良率85.1%;治疗12周后优(7～8)42例,良(5～6)90例,差(<5)16例,优良率89.2%。结论老年骨质疏松性胸腰椎压缩骨折的综合康复治疗是安全有效的方法。

Objective To discuss the clinical efficacy of comprehensive rehabilitation therapy of elderly patients with osteoporotic thoracolumbar vertebral compression fractures. Methods All the 148 cases of patients with osteoporotic thoracolumbar vertebral compression fractures had no cancer and thyroid, liver and kidney organic lesion. The comprehensive rehabilitation therapy were implemented by application of anti-osteoporosis drugs, MTZ combined with early medical physical exercise. 4 weeks, 12 weeks later methods of scoring classification such as Lin Hongsheng, etc was used to determine clinical efficacy. Results After 4 weeks in all cases treated, excellent （7 - 8） in 54 cases, good （5 - 6） in 72 cases, and poor （〈5） in 22 cases, the total effective rate reached 85.1%; After 12 weeks in all cases treated, excel- lent （7 - 8） in 42 cases, good （5 - 6） in 90 cases, and poor （〈5） in 16 cases, the total effective rate reached 89.2%. Conclusion Comprehensive rehabilitation therapy of elderly patients with osteoporotic thoracolumbar vertebral compression fractures is a safe, effective method.