摘要
目的：分析心理干预联合降钙素、利塞膦酸钠在骨质疏松性胸腰椎骨折患者改良经皮球囊扩张椎体后凸成形术（IPKP）术后康复治疗中的应用价值。方法：按随机数字表法将80例行IPKP术治疗的骨质疏松性胸腰椎骨折患者分为观察组与对照组各40例,对照组术后给予常规康复护理联合降钙素、利塞膦酸钠,观察组在此基础给予心理干预,对比两组康复情况、负性情绪、生活质量、并发症发生率、骨折愈合时长。结果：干预前,两组主观症状、临床体征、日常生活受限度、焦虑、抑郁、躯体化、情感功能、休闲社交等分值对比无差异（P〉0.05）;干预后,观察组主观症状、临床体征、日常生活受限度、躯体化、情感功能、休闲社交等分值均较对照组高（t=2.271,2.313,3.297,5.268,7.287,7.547;P〈0.05）;焦虑、抑郁分值低于对照组（t=-9.410,-9.221;P〈0.05）;并发症发生少于对照组（P〈0.05）,骨折愈合时长短于对照组（t=-2.189,P〈0.05）。结论：心理干预联合降钙素、利塞膦酸钠于骨质疏松性胸腰椎骨折患者IPKP术后康复治疗具重要应用价值.
Objective：To analyze the application value of psychological intervention combined with calcitonin and risedronate sodium in the rehabilitation treatment of patients with osteoporotic thoracolumbar fractures after improved percutaneous kyphoplasty（IPKP）.Methods：A total of 80 patients with osteoporotic thoracolumbar fractures treated with IPKP were divided into the observation group（n=40）and the control group（n=40）by the random number table method.The control group was given routine rehabilitation nursing combined with treatment with calcitonin and risedronate sodium,and on the basis,the observation group was given psychological intervention.The status of rehabilitation,negative emotion,quality of life,the incidence of complications and fracture healing time were compared between the two groups.Results：Before the intervention,there were no significant differences between the two groups in scores of subjective symptoms,clinical signs,limitation of daily life,anxiety,depression,somatization,emotional function and leisure and social interaction（P 〉0.05）.After the intervention,scores of subjective symptoms,clinical signs,limitation of daily life,somatization,emotional function,leisure and social interaction in the observation group were higher than those in the control group（t=2.271,2.313,3.297,5.268,7.287,7.547;P〈0.05）,while scores of anxiety and depression were lower than those in the control group（t=-9.410,-9.221;P〈0.05）.The incidence of complications in the observation group was lower than that in the control group（P〈0.05）,and the fracture healing time was longer than that of the control group（t=2.189,P〈0.05）.Conclusion：Psychological intervention combined with calcitonin and risedronate sodium are of great value in the rehabilitation treatment of patients with osteoporotic thoracolumbar fractures after IPKP.
作者
何争珍
HE Zhengzhen(Yichang Hospital of Traditional Chinese Medicine of Hubei Province,Yichang 443003,Chin)
出处
《中国健康心理学杂志》
2018年第8期1170-1173,共4页
China Journal of Health Psychology
关键词
心理干预
降钙素
利塞膦酸钠
骨质疏松性胸腰椎骨折
IPKP术后康复
Psychological intervention
Calcitonin
Risedronate sodium
Osteoporotic thoracolumbar fracture
Re-habilitation after IPKP
