老年COPD合并胸腰椎骨折PVP术对肺功能的改善研究

The Comparison of Pulmonary Function in the Patients of COPD after Percutaneous Vertebroplasty

目的探讨椎体成形术(PVP)治疗慢性阻塞性肺疾病(COPD)合并胸腰椎骨折患者对肺功能改善情况及分析。方法选择胸腰段脊柱压缩性骨折合并COPD患者48例作为研究对象,手术前后分别测量肺功能并进行分析研究。结果椎体成形术后1周及1个月患者肺功能较术前均显著改善。结论 COPD合并胸腰椎骨折患者经椎体成形术后能有效改善肺通气功能,考虑可能与术后胸廓重建稳定性及疼痛减轻后病人膈肌及肋间肌功能改善有关;而且,我们认为另一个不容忽视的原因是术后病人疼痛减轻,敢于进行咳嗽及排痰,并且呼吸道平滑肌蠕动能力增加,使气道阻力大大降低,从而使肺功能得到一定改善。

Objective To compare and investigate the amelioration of pulmonary function in the patients of COPD after percutaneous vertebroplasty.Methods 48 patients of COPD were operated in percutaneous vertebroplasty because of fracture in vertebra,then we compare the changes of pulmonary function（VC、MVV、FVC、TLC） between one week and one month after the operations.Results The date of VC、MVV、FVC、TLC of the COPD patients after opertation ameliorate during one week and one month after percutaneous vertebroplasty.Conclusion The pulmonary function of COPD patients with fracture in vertebra ameliorate because of percutaneous vertebroplasty during one week and one month,and this is probable related to thoracal reconstruction and rectification of hypofunction of midriff and intercostal muscles because of pain in fracture,anyway the other important case we find out is that phlegm is pellated smoothly besacse of the suffering is lighten,therefore airway resistance reduce.