脊柱后凸成形术结合周期性康复训练对骨质疏松性椎体压缩性骨折患者术后VAS评分、腰椎功能及恢复效果的影响

Effects of kyphoplasty combined with periodic rehabilitation training on postoperative VAS scores,lumbar function and recovery effect of patients with osteoporotic vertebral compression fractures

目的分析脊柱后凸成形术结合周期性康复训练对骨质疏松性椎体压缩性骨折患者术后VAS评分、腰椎功能及恢复效果的影响。方法124例骨质疏松性椎体压缩性骨折患者,根据就诊日期的单双号分为对照组和观察组,每组62例。对照组患者提供常规的术后康复治疗,观察组实施周期性康复训练。比较两组患者治疗前后的视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分、日常生活活动能力(ADL)评分、椎体康复指标以及满意度。结果治疗后,两组患者VAS、ODI评分均降低,ADL评分均升高,且观察组患者VAS评分(2.66±0.54)分、ODI评分(19.74±1.51)分低于对照组的(4.15±1.09)、(27.87±2.35)分,ADL评分(85.39±9.72)分高于对照组的(75.36±8.46)分(P<0.05)。治疗后,两组患者伤椎后缘高度、前缘高度、前后缘高度比均升高,且观察组伤椎后缘高度(2.89±0.09)cm、前缘高度(2.37±0.32)cm、前后缘高度比(80.35±7.38)%均高于对照组的(2.79±0.08)cm、(2.13±0.26)cm、(72.44±5.17)%(P<0.05)。观察组治疗满意度98.39%高于对照组的83.87%(P<0.05)。结论脊柱后凸成形术与周期性康复训练结合治疗能够降低骨质疏松性椎体压缩性骨折患者术后VAS评分,改善其腰椎功能,提高恢复效果,是患者满意度较高的治疗和康复方案。

Objective To analyze the effects of kyphoplasty combined with periodic rehabilitation training on postoperative VAS scores,lumbar function and recovery effect of patients with osteoporotic vertebral compression fractures.Methods 124 patients with osteoporotic vertebral compression fracture were divided into a control group and an observation group according to the odd-even date of consultation,with 62 cases in each group.The control group received routine postoperative rehabilitation treatment,and the observation group received periodic rehabilitation training.Both groups were compared in terms of visual analogue scale(VAS)score,Oswestry disability index(ODI)score,activities of daily living(ADL)score,vertebral rehabilitation indicators before and after treatment,and satisfaction.Results After treatment,the VAS and ODI scores in both groups of patients decreased,while the ADL score increased;VAS score of(2.66±0.54)points and ODI score of(19.74±1.51)points in the observation group were lower than(4.15±1.09)and(27.87±2.35)points in the control group;the ADL score of(85.39±9.72)points in the observation group was higher than(75.36±8.46)points in the control group(P<0.05).After treatment,the height of the posterior edge,height of the anterior edge,anterior and posterior edge height ratio of the injured vertebra in both groups increased;the height of the posterior edge,height of the anterior edge,anterior and posterior edge height ratio of the injured vertebra were(2.89±0.09)cm,(2.37±0.32)cm and(80.35±7.38)%in the observation group,which were higher than(2.79±0.08)cm,(2.13±0.26)cm and(72.44±5.17)%in the control group(P<0.05).The treatment satisfaction of 98.39%in the observation group was higher than 83.87%in the control group(P<0.05).Conclusion The combination of kyphoplasty and periodic rehabilitation training can reduce the postoperative VAS score of patients with osteoporotic vertebral compression fracture,improve the lumbar function and improve the recovery effect,which is a treatment and rehabilitation program with high patient satisfaction.