术前适应性行为训练配合术后核心肌群训练对骨质疏松性椎体压缩性骨折PKP手术患者术后功能恢复的影响

Effect of Preoperative Adaptive Behavior Training Combined with Postoperative Core Muscle Training on Functional Recovery of Patients with Osteoporotic Vertebral Compression Fracture after PKP

目的:探究术前适应性行为训练配合术后核心肌群训练对骨质疏松性椎体压缩性骨折(OVCF)经皮椎体后凸成形术(PKP)手术患者术后功能恢复的影响。方法:选取合肥市第一人民医院2018年4月至2022年6月期间60例拟行PKP术的OVCF患者为研究对象,以随机数字表法将其分为两组,对照组(n=30)及观察组(n=30),对照组术前不进行适应性行为训练,术后行传统康复训练,观察组实施术前适应性行为训练配合术后核心肌群训练,比较两组康复效果、疼痛程度及腰椎功能,视觉评分量表(VAS),记录术后并发症发生情况。结果:观察组前缘高度(AH)后缘高度(PH)、AH/PH值均高于对照组(P<0.05);相较于对照组,观察组术后1周、2周的疼痛视觉评分量表(VAS)评分更低(P<0.05);两组患者术后1周、2周的Oswestry功能障碍指数问卷表(ODI)评分对比未见显著性差异(P>0.05),观察组术后4周ODI评分低于对照组(P<0.05);观察组、对照组并发症总发生率分别为3.33%、20.00%,差异有显著性(P<0.05)。结论:OVCF患者应用术前适应性训练联合术后核心肌群训练,可减轻PKP术后疼痛,有效改善术后腰椎功能,且能降低并发症发生风险。

Objective:To investigate the effect of preoperative adaptive behavior training combined with postoperative core muscle training on functional recovery of patients with osteoporotic vertebral compression fracture(OvCF)after percutaneous kyphoplasty(PKP).Methods:A total of 60 patients with OVCF who planned to undergo PKP in Hefei First People's Hospital from April 2018 to June 2022 were selected as the research subjects,and randomly divided into the control group(n=30)and the observation group(n=30).The control group did not receive adaptive behavior training before operation,but received traditional rehabilitation training after operation.The observation group received adaptive behavior training before operation and core muscle training after operation.Rehabilitation effects,pain degree[Visual Analogue Scale(VAS)],and lumbar vertebral function[Oswestry Disability Index(ODID)]in the two groups were compared.The incidence rates of postoperative complications were recorded.Results:Anterior height(AH),posterior height(PH)and AH/PH in the observation group were higher than those in the control group(P<0.05).Compared with the control group,the observation group had lower VAS scores at 1 week and 2 weeks after operation(P<0.05).There was no significant difference in ODI score between groups at 1 week and 2 weeks after operation(P>0.05).The ODI score of the observation group at 4 weeks after operation was lower than that of the control group(P<0.05).The total incidence rates of complications in the observation group and the control group were 3.33%and 20.00%,with a significant difference between groups(P<0.05).Conclusion:Applying preoperative adaptive training combined with postoperative core muscle training to patients with OVCF can alleviate pain after PKP,effectively improve postoperative lumbar vertebral function,and lower the risk of complications.