飞燕式腰背肌锻炼在胸腰椎压缩性骨折PKP术后的作用疗效

Chest lumbar vertebra compressibility bone fracture PKP technique function curative effect

目的：探讨飞燕式腰背肌锻炼在胸腰椎压缩性骨折PKP术后的作用疗效。方法：45例（其47个椎体）骨质疏松性椎体压缩骨折行PKP治疗后行飞燕式腰背肌锻炼，分别于术后3天、术后半年、术后1年进行VAS评分、活动能力评分、使用止痛药物评分、Cobb角评价。结果：所有病历完成随访，视觉模拟评分（VAs）由术后3天的（3．05±0．89）分下降至术后半年的（2．63±0．71）分，术后1年随访时为（1．78±0．55）分，活动能力评分由术后3天的（2．52±0．65）分改善到术后半年的（1．84±0．55）分，术后1年随访时为（1．54±O．50）分，使用止痛药物评分由术后3天的（1．71±0．77）分下降至术后半年的（1．24±0．43）分，术后1年随访时为（0．31±0．46）分，Cobb角由术后3天的（22．81±1．38），矫正到术后半年的（22．35±1．32），术后1年的随访时为（22．02±1．37），术后3天与术后半年差别有显著性意义（P〈O．05）；术后半年与术后1年有显著性意义（P〉0．05）。结论：飞燕式腰背肌锻炼对胸腰椎压缩性骨折PKP术后具有减小后凸，改善临床症状的作用。

Objective：Debate the efficacy of the swallows type back muscle exercise in the thoracolumbar vertebral compression fractures after PKP. Methods：45 patients （47 vertebrae） of osteoporotic vertebral compression fractures underwent PKP treatment under the low back muscle exercise- swallows type, estimating VAS score, activity score, use of analgetica and Cobb angle respectively after 3 days,after six months,after one year All the patient were follow- up, VAS were down to （2.63 ± 0.71） after 6 months, （1.78±0.55） after 1 year from （3.05±0.89） 3 days after surgery; activity score were down to （1.84± 0. 55） after 6 months,（1.54±0.50） after 1 year from （2.52±0.65） 3 days after surgery;use of analgetiea were down to （1.24±0. 43） after 6 months, （0. 314±0.46） after 1 year from （1. 71± 0. 77） 3 days after surgery;Cobb angle were down to （22. 35±1.32） after 6 months, （22.02±1.37） after 1 year from （22.81±1.38） 3 days after surgery. The difference between 3 days after the surgery and 6 months after surgery was significant different （P 〈0.05） ; The difference between 6 months after the surgery and after 1 year after surgery was significant different （P 〈0.05）. Conclusion： Swallows type back muscle exercise on the thoracic and lumbar compression fractures after PKP has decreased kyphosis,improve the clinical symptoms.