摘要
目的探究老年骨质疏松性脊柱骨折应用椎体成形术治疗对其近期疗效及视觉模拟评分法(VAS)评分的影响。方法 80例老年骨质疏松性脊柱骨折患者作为研究对象,以随机分类法分为对照组与试验组,每组40例。对照组采用常规治疗方案,试验组采用椎体成形术治疗方案。比较两组临床疗效及治疗前后VAS评分。结果对照组显效29例、有效10例、无效1例,治疗总有效率为97.5%(39/40);试验组显效25例、有效8例、无效7例,治疗总有效率为82.5%(33/40);试验组治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。治疗前,两组VAS评分比较,差异无统计学意义(P>0.05);治疗后,两组VAS评分均低于治疗前,且试验组VAS评分低于对照组,差异具有统计学意义(P<0.05)。结论老年骨质疏松性脊柱骨折患者应用椎体成形术治疗,既可提高临床疗效,又可缓解疼痛程度,值得临床推广。
Objective To discuss the effect of vertebroplasty on the treatment of senile osteoporotic spinal fractures and its short-term efficacy and visual analogue scale(VAS) score. Methods A total of 80 senile patients with osteoporotic spinal fractures as study subjects were randomly divided into control group and experimental group, with 40 cases in each group. The control group received conventional treatment regimen, and the experimental group received vertebroplasty regimen. The clinical efficacy and VAS score before and after treatment in two groups was compared. Results The control group had 29 excellent cases, 10 effective cases and 1 ineffective case, with total treatment effective rate as 97.5%(39/40), while the experimental group had 25 excellent cases, 8 effective cases and 7 ineffective cases, with total treatment effective rate as 82.5%(33/40). The experimental group had higher total treatment effective rate than the control group, and the difference was statistically significant(P<0.05). Before treatment, both groups had no statistically significant difference in VAS score(P >0.05). After treatment, both groups had lower VAS score than those before treatment, and the experimental group had lower VAS score than the control group. Their difference was statistically significant(P<0.05). Conclusion Application of vertebroplasty in senile patients with osteoporotic spinal fractures can not only improve clinical efficacy, but also relieve pain degree. It is worthy of clinical promotion.
作者
唐华军
胡孔和
刘建平
TANG Hua-jun;HU Kong-he;LIU Jian-ping(Department Two of Orthopaedics,Guangdong North People 's Hospital Affiliated to Medical College of Shantou University,Shaoguan 512026,China)
出处
《中国实用医药》
2019年第2期31-32,共2页
China Practical Medicine
