胸腰椎压缩性骨折患者益处发现状况及其对术后康复的影响

Status of Benefit Discovery of Patients with Thoracolumbar Vertebral Compression Fractures and Its Impact on Postoperative Rehabilitation

目的分析胸腰椎压缩性骨折患者益处发现状况及其对术后康复的影响,为促进患者术后康复拓展干预途径。方法前瞻性纳入郑州大学第一附属医院2020年7月至2021年7月行微创经皮椎体成形术治疗的128例胸腰椎压缩性骨折患者作为研究对象,调查患者术前及术后3 d益处发现评定量表(BFS)得分情况,并记录性别、年龄、家庭关怀度(APGAR)等资料;术后随访3个月,通过Oswestry功能障碍指数(ODI)评估患者术后康复情况,分析胸腰椎压缩性骨折患者益处发现水平对术后康复的影响。结果本研究发放一般资料调查表、ODI、BFS、APGAR问卷各128份,回收122份,有效回收率为95.31%;122例胸腰椎压缩性骨折患者术前BFS评分为(55.57±4.60)分,高于术后[(44.28±4.88)分](P<0.05);不同年龄、骨折类型、受教育程度、家庭关怀度患者BFS评分比较,差异有统计学意义(P<0.05);其他资料特征胸腰椎压缩性骨折患者BFS评分比较,差异无统计学意义(P>0.05);经简单线性回归分析显示,年龄、骨折类型、受教育程度、家庭关怀度是胸腰椎压缩性骨折患者益处发现的影响因素(P<0.05)。122例胸腰椎压缩性骨折患者ODI指数为(42.28±4.32)%,经简单线性回归分析显示,益处发现水平是胸腰椎压缩性骨折患者术后康复的影响因素(P<0.001)。结论胸腰椎压缩性骨折患者术后益处发现水平偏低,年龄、骨折类型、受教育程度、家庭关怀度是益处发现水平的影响因素,且益处发现水平能够影响患者术后康复。

Objective To analyze the benefit discovery status of patients with thoracolumbar compression fracture and its impact on postoperative rehabilitation,so as to expand the intervention way for promoting postoperative rehabilitation of patients.Methods A total of 128 patients with thoracolumbar compression fractures who underwent minimally invasive percutaneous vertebroplasty from July 2020 to July 2021 were prospectively included in the First Affiliated Hospital of Zhengzhou University as the study subjects.The preoperative and postoperative benefit discovery scale(BFS)scores were investigated,and the gender,age,family care(APGAR)and other data were recorded.The patients were followed up for 3 months after operation.The postoperative rehabilitation was evaluated by Oswestry disability index(ODI),and the benefit discovery level of patients with thoracolumbar compression fractures were analyzed.Results A total of 128 points of general information questionnaire,ODI,BFS and APGAR questionnaire were distributed in this study,and 122 were recovered,with an effective recovery rate of 95.31%.The preoperative BFS score of 122 patients with thoracolumbar compression fracture was(55.57±4.60)points,which was significantly higher than that of the postoperative patients[(44.28±4.88)points](P<0.05).There were differences in the BFS scores of patients with different age,fracture type,education level and family care(P<0.05).There was no statistical significant difference in BFS scores of patients with thoracolumbar compression fractures(P>0.05).Simple linear regression analysis showed that age,fracture type,education level and family care were the influencing factors for benefit discovery of patients with thoracolumbar compression fractures(P<0.05).The ODI index of 122 patients with thoracolumbar compression fractures was(42.28±4.32)%.The simple linear regression analysis showed that the benefit discovery level was the influencing factor of postoperative rehabilitation of patients with thoracolumbar compression fracture(P<0.001).Conclusion The benefit discovery level of patients with thoracolumbar compression fracture is low.Age,fracture type,education level and family care are the influencing factors of benefit discovery level,and benefit discovery level can affect the postoperative rehabilitation of patients.