延续性康复措施在中老年骨质疏松性椎体压缩骨折患者术后的应用研究

目的:研究延续性康复措施在中老年骨质疏松性椎体压缩骨折患者术后的应用效果.方法: 应用随机数表法,将骨质疏松性椎体压缩骨折患者132例分为对照组和观察组,每组各66例.所有患者均接受经皮椎体后凸成形术治疗,且在住院期间接受相同的围术期护理,对照组在患者出院前给予相关康复护理指导,观察组则在此基础上应用延续性康复措施.于出院1个月、3个月、6个月对患者腰椎疼痛程度、腰椎功能恢复情况及生活质量进行评估,并对比分析.结果: 出院后1个月、3个月、6个月,观察组VAS疼痛评分均低于对照组,差异有统计学意义(P＜0. 05);观察组腰椎功能ODI评分均低于对照组,差异有统计学意义(P＜0. 05);观察组生活质量评分均高于对照组,差异有统计学意义(P＜0. 05).结论: 在中老年骨质疏松性椎体压缩骨折患者术后应用延续性康复措施效果显著,可减轻患者椎体骨折处疼痛程度,促进患者腰椎功能恢复,减轻骨折对患者日常生活的影响,改善术后生活质量.

Analysis on application of continuous rehabilitation measures in postopera-tive osteoporotic vertebral compression fractures in middle-aged and elderly patients

Objective:To study the effect of continuous rehabilitation measures on postoperative osteoporotic vertebral compres-sion fractures in middle-aged and elderly patients. Methods:132 cases of patients with osteoporotic vertebral compression fractures were divided into control group (66 cases) and observation group (66 cases) by random number table. Patients were treated with percutane-ous kyphoplasty and received the same perioperative care during the main period. Patients in the control group were given relevant reha-bilitation care instructions before they were discharged from the hospital. The observation group was given continuous rehabilitation measures based on the care instructions of the control group. The lumbar pain,recovery of lumbar function and quality of life of patients were assessed and compared at 1 month,3 months and 6 months after discharge. Results:At 1 month,3 months and 6 months after dis-charge,the pain scores of VAS in the observation group were significantly lower than those in the control group,the differences were sta-tistically significant(P＜0. 05). The ODI scores of lumbar function in observation group were lower than those in control group,the differences were statistically significant (P＜0. 05). The scores of quality of life in observation group were higher than those in control group,the differences were statistically significant (P＜0. 05). Conclusion:The application of continuous rehabilitation measures in pa-tients with osteoporotic vertebral compression fractures in middle-aged and elderly patients is significant,which can reduce the degree of pain in vertebral body fractures,promote the recovery of lumbar function,reduce the impact of fractures on patients’ daily life,improve postoperative quality of life.