老年骨质疏松性脊柱压缩骨折患者缓解腰背部疼痛的治疗方法

Remission treatment of low back pain in patients with osteoporotic vertebral compression fractures

目的:探讨老年骨质疏松性脊柱压缩骨折(OVCF)患者缓解腰背部疼痛的方法。方法:随机选取我院收治的老年骨质疏松性脊柱压缩骨折(OVCF)患者101例,随机分为保守组和PVP组,保守组49例给予过伸牵引手法按摩等治疗,PVP组52例给予经皮椎体成形术(PVP)结合全身治疗,比较在治疗后的相同时间两组患者腰背部疼痛缓解程度,以腰背视觉模拟量表(VAS)和Oswestry功能障碍指数为评价指标。结果:两组患者治疗后的Oswestry功能障碍指数和VAS量表分数均显著好于治疗前,存在显著差异(P<0.05);两组在治疗后的同一时间进行组间比较,Oswestry功能障碍指数和VAS分数均存在显著差异(P<0.01)。结论:经皮椎体成形术治疗骨质疏松性脊柱压缩骨折能够快速缓解腰背部疼痛,具有推广价值。

Objective： To investigate osteoporotic vertebral compression fractures remission treatment of low back pain. Methods： 101 OVCF patients were randomly divided into the conservative group and PVP group; the conservative group of 49 patients were given hyperextension traction massage therapy; the PVP group of 52 patients were given percutaneous vertebroplasty plus systemic therapy. Results： Oswestry Disability Index and VAS scale scores in groups were significantly better than before （P〈0.05）; at the same time, Oswestry Disability index and VAS scores in groups were compared; the difference was significantly different （P〈0.01）. Conclusion： Percutaneous vertebroplasty for osteoporotic vertebral compression fractures can quickly relieve back pain, and is worth promoting.