骨质疏松性椎体压缩性骨折的临床特点分析

Analysis of Clinical Features of Osteoporotic Vertebral Compression Fracture

目的分析骨质疏松性椎体压缩性骨折的临床特点。方法选取2014年1月至2017年12月200例骨质疏松性椎体压缩性骨折患者作为观察对象,采集患者的一般资料与临床资料进行分析,并总结此类患者的临床特点。结果 200例患者多为中老年人,且女性(66.0%)的发生率高于男性(34.0%),多数(65.5%)患者伴随轻微外伤史,但也有部分(34.5%)患者没有外伤史也出现了骨折。几乎所有(98.5%)的患者都伴随骨折部位疼痛以及按压痛,少数(1.5%)患者主诉骨折以外的部位疼痛;且患者的疼痛主要为中度疼痛,可由于翻身或体位改变为加重。结论骨质疏松性椎体压缩性骨折具有明显的特点,需要详细询问患者并做好临床体查工作,有助于提高该病的诊断准确率。

Objective To analyze the clinical features of osteoporotic vertebral compression fracture. Methods 200 patients with osteoporotic vertebral compression fracture from January 2016 to December 2017 were selected as objects of observation, and the general data and clinical data of the patients were collected for analysis, and the clinical characteristics of such patients were summarized. Results More than 200 patients were middle-aged and elderly, and the incidence of female patients （66.0%） was higher than that of male patients （34.0%）. Most patients （65.5%） had a history of minor trauma, but some patients （34.5%） had fractures without any history of trauma. Almost all （98.5%） of the patients experienced pain and tenderness at the fracture site, and a few （1.5%） reported pain outside the fracture site. And the patient＇s pain is mainly moderate pain, may be due to turn over or the body position changes to aggravate. Conclusion Osteoporotic vertebral compression fracture has obvious characteristics. It needs to ask patients in detail and do clinical examination, which is helpful to improve the diagnostic accuracy of the disease.