循序渐进康复干预在老年胸腰椎压缩性骨折中的应用效果观察

Effect of step-by-step rehabilitation intervention on thoracolumbar compression fractures in the elderly

【目的】探究循序渐进康复干预在老年胸腰椎压缩性骨折中的应用效果。【方法】回顾性分析我院收治的80例老年胸腰椎压缩性骨折患者的病历资料,根据不同干预方式分为对照组和观察组,各40例。对照组采用常规干预,观察组采用循序渐进康复干预。干预4周后,比较两组患者相关指标水平和生活质量。【结果】干预后,两组患者视觉模拟评分(visual analog scale,VAS)均较干预前降低,且观察组低于对照组;日本骨科协会胸腰椎评分及Barthel指数均较干预前提升,且观察组高于对照组(P<0.05)。干预后,两组患者社会功能、躯体功能、心理功能评分均较干预前提升,且观察组高于对照组(P<0.05);两组物质生活状态评分较干预前提升(P<0.05),组间比较无差异(P>0.05)。【结论】老年胸腰椎压缩性骨折患者采用循序渐进康复干预可有效缓解患者疼痛,促进胸腰椎功能恢复,提升生活质量,临床应用价值较高。

【Objective】To explore the effect of step-by-step rehabilitation intervention on thoracolumbar compression fractures in the elderly.【Methods】The medical records of 80 elderly patients with thoracolumbar compression fractures treated in our hospital were analyzed retrospectively.According to different intervention methods,they were divided into control group and observation group,with 40 cases in each group.The control group received routine intervention and the observation group received step-by-step rehabilitation intervention.After 4 weeks of intervention,the related index level and quality of life of the two groups were compared.【Results】After the intervention,the visual analog scale(VAS)of the two groups was significantly lower than that before the intervention,and the observation group was lower than that of the control group.The thoracolumbar score and Barthel index of the Japanese Orthopaedic Association were significantly higher than those before the intervention,and the observation group was higher than that of the control group(P<0.05).After the intervention,the scores of social function,physical function and psychological function of the two groups were significantly higher than those before the intervention,and the scores of the observation group were higher than those of the control group(P<0.05);The scores of material life state of the two groups were higher than those before the intervention(P<0.05);There was no difference between the two groups(P>0.05).【Conclusion】Step-by-step rehabilitation intervention in elderly patients with thoracolumbar compression fractures can effectively relieve pain,promote the recovery of lower thoracolumbar function and improve the quality of life.It has high clinical value.