循证医学在椎体压缩性骨折行PVP并发症中的应用

Application of Evidence-based Medicine in the PVP Complications of Vertebral Compression Fractures

目的探讨循证医学在老年椎体压缩性骨折行经皮椎体成形术后并发症中的应用。方法随机抽取将本院收治的72例老年椎体压缩骨折患者分为观察组和对照组,各36例。住院期间对照组予常规手术,术后对症处理及健康宣教;观察组实施循证医学干预模式,比较2组患者术后生活质量、住院时间、住院费用及并发症发生情况。结果观察组患者总并发症发生率低于对照组,2组比较差异有统计学意义(χ^2=4.181,P <0.05);两组术后生活质量比较差异有统计学意义(t=2.183,P <0.05);住院时间和住院费用评分比较差异有统计学意义(P <0.05)。结论循证医学的实施能降低老年椎体压缩性骨折行经皮椎体成形术后并发症的发生,提高患者生活质量,缩短住院时间,减轻经济负担。

Objective To investigate the application of evidence-based medicine in the complications of vertebral compression fractures in elderly patients undergoing percutaneous vertebroplasty.Methods 72 patients with vertebral compression fractures admitted to our hospital were randomly divided into the observation group and the control group,with 36 patients in each group.During the hospitalization,the patients in the control group were received routine surgery,postoperative symptomatic treatment and health education;the patients in the observation group implemented the evidencebased medical intervention model,and then the postoperative quality of life,hospitalization time,hospitalization expenses and complications in the two groups were compared.Results The incidence of total complication in the observation group was lower than that in the control group.The difference between the two groups was statistically significant(χ^2=4.181,P<0.05).The difference of quality of life between the two groups was statistically significant(t=2.183,P<0.05).The difference in hospitalization time and hospitalization cost scores were both statistically significant(P<0.05).Conclusion The implementation of evidence-based medicine can reduce the incidence of complications after percutaneous vertebroplasty in elderly patients with vertebral compression fractures,improve the quality of life of patients,shorten the length of hospital stay,and reduce the financial burden of relatives.