经皮椎体成形术联合五禽戏运动疗法治疗骨质疏松性胸腰椎压缩性骨折的临床疗效分析

目的 观察经皮椎体成形术联合五禽戏运动疗法治疗骨质疏松性胸腰椎压缩性骨折的疗效。方法 选择我院收治的73例骨质疏松性胸腰椎压缩性骨折患者，随机分为观察组35例和对照组38例。对照组单纯行PVP治疗，观察组在此基础上联合五禽戏运动治疗，比较两组患者术前、术后及术后1年VAS评分、椎体前缘高度、Barthel指数和复诊率。结果 手术前后两组患者VAS评分、椎体前缘高度、Barthel指数比较，结果无统计学差异（P＞0.05）；术后1年观察组患者VAS评分低于对照组（3.24±1.10）分 vs （4.01±1.88）分，椎体前缘高度高于对照组（1.95±0.25）cm vs （1.83±0.23）cm]，Barthel指数高于对照组（91.54±3.75） vs （81.03±4.02）]，1年内复诊率低于对照组（5.71% vs 26.32%），结果均有统计学差异（P＜0.05）。结论 经皮椎体成形术联合五禽戏运动疗法治疗骨质疏松性胸腰椎压缩性骨折，能有效减轻患者腰部疼痛，避免椎体再次受到压缩，有助于改善患者日常生活质量，降低再次腰痛复诊率。

Clinical Analysis of Percutaneous Vertebroplasty Combined with Wuqinxi Exercise Therapy for Osteoporotic Thoracolumbar Vertebral Compression Fracture

Objective Toobserve the effect of percutaneous vertebroplasty combined with Wuqinxi exercise therapy on osteoporotic thoracolumbar vertebral compression fracture.Methods 73 patients with osteoporotic thoracolumbar vertebral compression fractures admitted to our hospital were randomly divided into observation group (35 cases) and control group (38 cases). The control group was treated with PVP alone. On the basis of this, the VAS score, the height of the anterior edge of the vertebral body, the Barthel index and the rate of rediagnosis were compared between the two groups before, after and one year after operation.Results There was no significant difference in VAS score, anterior height of vertebral body and Barthel index between the two groups before and after operation (P>0.05). One year after operation, the VAS score in the observation group was lower than that in the control group (3.24 ±1.10) vs, (4.01 ±1.88), the anterior height of vertebral body was higher than that in the control group (1.95 ±0.25) cm vs (1.83 ±0.23) cm]. The Barthel index was higher than that of the control group (91.54 ±3.75) vs (81.03 ±4.02)], and the rate of follow-up within one year was lower than that of the control group (5.71% vs 26.32%),the results were statistically significant (P<0.05).Conclusion Percutaneous vertebroplasty combined with Wuqinxi exercise therapy for osteoporotic thoracolumbar vertebral compression fractures can effectively alleviate lumbar pain and avoid compression of the vertebral body again, which can improve the quality of daily life of patients and reduce the rate of recurrent low back pain.