PVP和PKP治疗骨质疏松性椎体压缩骨折疗效观察及护理

Observation on the curative effect of PVP and PKP in the treatment of osteoporotic vertebral compression fracture and nursing care

目的:探讨经皮椎体成形术(PVP)和经皮椎体后凸成形术(PKP)治疗老年骨质疏松性椎体压缩骨折的近期疗效及护理方法。方法:将86例骨质疏松性椎体压缩骨折患者根据治疗方法分为PVP组37例和PKP组49例。对两组患者住院时间、住院费用、卧床时间、患者满意度、并发症发生率、治疗前后的疼痛视觉评分(VAS)进行比较并总结护理方法。结果:两组治疗前及出院时VAS评分比较差异无统计学意义(P>0.05);PVP组骨水泥渗漏率高于PKP组(P<0.05),治疗费用低于PKP组(P<0.01)。结论:PKP组与PVP组相比骨水泥渗漏率低、对患者经济状况要求高。

Objective： To evaluate the short-term curative effect of percutaneous vertebroplasty（PVP） and percutaneous kyphoplasty（PKP） in the treatment of elderly osteoporotic vertebral compression fractures and nursing methods.Methods： 86 patients with osteoporotic vertebral compression fractures were divided into PVP group（n = 37） and PKP group（n = 49） according to treatment methods.The length and cost of hospitalization,time of bed rest,patient＇s satisfaction,complication rates and visual score（VAS） of pain before and after treatment were compared between the two groups and nursing methods were summa-rized.Results： The VAS was not significantly different before treatment and when the patients were discharged from hospital between the two groups（P 〉0.05）;the cement leakage rate was higher（P〈 0.05） and treatment cost was less in the PVP group than those in the PKP group（P 〈0.01）.Conclusion： The cement leakage rate was lower in the PKP group,but the treatment cost was higher.