骨质疏松性椎体压缩骨折成形术后慢性疼痛的康复研究进展

Progress in Rehabilitation of Chronic Pain after Vertebroplasty of Osteoporotic Vertebral Compression Fracture

骨质疏松症是影响老年人群的一大慢性病之一,椎体压缩性骨折为常见的并发症,常规手术治疗方式为椎体成形术,可较大缓解患者疼痛,然而因患者的自身虚瘀体质、肌肉筋膜的损伤、手术方式、骨水泥的弥散分布情况或渗漏、心理等原因,术后仍有慢性疼痛、残余痛等问题,严重影响患者的生活质量,因此骨质疏松性椎体压缩骨折成形术后的康复治疗非常关键。相关研究表明中西医康复治疗能够缓解术后慢性疼痛,例如中药可通过滋阴补阳祛湿等方法改善临床症状,西药可以通过止痛药物联合抗骨质疏松药缓解术后疼痛,因此本文总结了骨质疏松性椎体压缩骨折成形术后慢性疼痛的原因,综述了中医康复及西医康复的研究进展。

Osteoporosis is one of the major chronic diseases affecting the elderly population.Vertebral compression frac-ture is a common complication.The conventional surgical treatment is vertebroplasty,which can greatly relieve the pain of patients.However,due to the patients'physical deficiency of blood stasis,muscle fascia injury,surgical method,bone ce-ment dispersion or leakage,psychological reasons,etc.,the patients'pain can be greatly relieved.There are still chronic pain,residual pain and other problems after surgery,which seriously affect the quality of life of patients,so the rehabilita-tion treatment after osteoporotic vertebral compression fracture is very critical.Relevant studies have shown that rehabili-tation treatment of traditional Chinese and Western medicine can effectively relieve chronic pain after surgery.For exam-ple,traditional Chinese medicine can improve clinical symptoms by nourishing Yin,invigorating Yang and removing damp-ness,and Western medicine can relieve postoperative pain by combining analgesic drugs with anti-osteoporosis drugs.Therefore,this paper discusses the causes of chronic pain after orthopedic surgery for osteoporotic vertebral compression fracture.The research progress of traditional Chinese medicine rehabilitation and Western medicine rehabilitation is re-viewed.