持续康复护理对老年腰椎骨折患者骨密度的影响

目的 探讨康复护理对老年腰椎骨质疏松性骨折患者骨密度的影响.方法 依据是否坚持康复护理将我院201 1年因骨质疏松性腰椎骨折住院手术治疗并接受康复护理出院指导的患者分为两组,分别在入院、出院1个月、3个月、6个月进行自行设计的基线问卷调查和骨密度测量.结果 6个月后康复护理组骨密度提高,未坚持康复护理组骨密度下降.康复护理组术后1个月、3个月、6个月的骨密度,随运动时间越长,骨密度提高越显著.室外自主负重运动方式对骨密度的影响更有效.结论 坚持康复护理可以提高老年腰椎骨质疏松性骨折患者的骨密度,是改善骨质疏松的有效手段之一.

Effect of continuous rehabilitation nursing care on bone density of elderly patients with lumbar fracture

Objective To investigate the effect of rehabilitation nursing care on bone density in elderly patients with osteoporotic lumbar fracture. Methods According to whether to insist on rehabilitation nursing care or not, 90 cases of osteoporotic lumbar fracture discharged on hospital surgery treatment and accepting rehabilitation nursing care guidance in our hospital in 2011 were divided into two groups, who underwent bone mineral density （BMD） test and questionnaire survey in the admission and discharge 1 month, 3 months, 6 months after surgery. Results The BMD level increased in rehabilitation nursing care group, while that decreased in the other group. 1 month, 3 months, 6 months after surgery, BMD increased as time passed. Outdoor autonomous weight-bearing exercise was more effective on BMD. Conclusion Continuous rehabilitation nursing care can improve bone density of elderly patients with osteoporotic lumbar fracture, which is a effective method for osteoporosis.