骨折联络服务应用于骨质疏松性椎体压缩骨折行PVP术患者中的效果

Effect of Fracture Liaison Service on Patients with Osteoporotic Vertebral Compression Fracture Treated with Zoledronic Acid After PVP

目的:探讨骨折联络服务应用于唑来膦酸治疗骨质疏松性椎体压缩骨折PVP术后患者的效果。方法:选择2019年1月—12月我院收治的86例骨质疏松性椎体压缩骨折PVP术后患者作为研究对象,以随机数字表法分为对照组和观察组,每组43例。两组术后均予唑来膦酸治疗,在此基础上,对照组采用常规护理,观察组采用骨折联络服务。观察两组疼痛程度、腰椎功能、骨密度值以及二次骨折发生率。结果:观察组不同时间点疼痛评分、腰椎功能评分均低于对照组(P<0.05);观察组腰椎、髋部骨密度值高于对照组(P<0.05);观察组二次骨折发生率低于对照组(P<0.05)。结论:骨折联络服务在唑来膦酸治疗骨质疏松性椎体压缩骨折PVP术后患者中具有较高的应用价值,既能快速减轻患者术后疼痛,促进腰椎功能恢复,又能提高患者骨密度,降低二次骨折发生风险。

Objective:To explore the effect of fracture liaison service on patients with osteoporotic vertebral compression fracture after PVP treated with zoledronic acid.Methods:From January 2019 to December 2019,86 patients with osteoporotic vertebral compression fractures after PVP in our hospital were selected as the research objects.They were divided into control group and observation group by random number table method,with 43 cases in each group.Both groups were treated with zoledronic acid after operation.On this basis,the control group received routine nursing,and the observation group received fracture liaison service.The pain degree,lumbar function,bone mineral density and the incidence of secondary fracture were observed in the two groups.Results:The pain score and lumbar function score of the observation group at different time points were lower than those of the control group(P<0.05).The bone mineral density of lumbar spine and hip in the observation group was higher than that in the control group(P<0.05).The incidence of secondary fracture in the observation group was lower than that in the control group(P<0.05).Conclusion:The fracture liaison service has high application value in the treatment of patients with osteoporotic vertebral compression fracture after PVP with zoledronic acid,which can not only quickly reduce the postoperative pain of patients,promote the recovery of lumbar function,but also improve the bone density of patients and reduce the risk of secondary fracture.