摘要
目的 进行腰椎压缩性骨折患者中行 PVP治疗方案的效果探究。方法 本次选取主要为腰椎压缩性骨折患者100例,试验起始于2021年1月内,终止于2022年12月内,试验以双盲法进行分组,对照组50例行常规手术治疗方案,观察组50例行PVP治疗方案。比对治疗结果。结果 两组相比,观察组下腰痛评分更高、Oswestry功能障碍指数更低、疼痛评分更低(P<0.05)。两组相比,观察组各项生活质量评分更高(P<0.05)。两组相比,观察组对治疗方案满意度更高(P<0.05)。两组相比,观察组椎体高度及Cobb角更高(P<0.05)。结论 于腰椎压缩性骨折患者中行 PVP治疗方案,有利于改善腰痛症状、生活质量、椎体高度及Cobb角,降低功能障碍及疼痛感,为患者提高较为满意治疗方案。
关键词: 腰椎压缩性骨折;PVP;疼痛
Abstract
Objective To explore the effectiveness of PVP treatment in patients with lumbar compression fractures. Methods This study selected 100 patients with lumbar vertebral compression fractures. The trial started in January 2021 and ended in December 2022. The trial was divided into two groups using a double-blind method: a control group of 50 patients received conventional surgical treatment, and an observation group of 50 patients received PVP treatment. Compare treatment results. Results Compared with the two groups, the observation group had a higher lower back pain score, lower Oswestry dysfunction index, and lower pain score (P<0.05). Compared with the two groups, the observation group had higher scores on various quality of life (P<0.05). Compared to the two groups, the observation group showed higher satisfaction with the treatment plan (P<0.05). Compared with the two groups, the observation group had higher vertebral height and Cobb angle (P<0.05). Conclusion The use of PVP treatment in patients with lumbar compression fractures is beneficial for improving lower back pain symptoms, quality of life, vertebral height and Cobb angle, reducing functional impairment and pain, and providing patients with a more satisfactory treatment plan.
Key words: Compression fractures of the lumbar spine; PVP; Pain
参考文献 References
[1] 陈栋,王亮,袁龙华,等. 老年骨质疏松性胸腰椎压缩性骨折患者选择经皮椎体成形手术(PVP)治疗的临床效果[J]. 系统医学,2022,7(20):91-94.
[2] 张振山,周其璋,陈世忠,等. PVP治疗超高龄骨质疏松性胸腰椎压缩性骨折的疗效分析[J]. 临床医学工程,2021, 28(2):167-168.
[3] 王建斌,徐中和,连育才,等. PVP、PKP治疗骨质疏松腰椎压缩性骨折的临床对比研究[J]. 四川生理科学杂志,2021, 43(6):1030-1031.
[4] 周何. PVP治疗腰椎压缩性骨折20例的术后护理思考[J]. 饮食保健,2021,5(13):149.
[5] 吴美库. 老年人骨质疏松性胸腰椎压缩性骨折PVP治疗有效率及术前疼痛视觉模拟评分和术后1天评分分析[J]. 饮食保健,2021,12(30):54-55.
[6] 王昌刚,韦泽进,廖正许. 比对PVP与PKP治疗骨质疏松性胸腰椎压缩性骨折的临床效果分析[J]. 医学食疗与健康,2020,18(22):222,225.
[7] 李悍. 高粘度骨水泥PVP手术在骨质疏松性胸腰椎压缩性骨折中的临床应用[J]. 家庭医药,2019,9(6):177-178.
[8] 谢旭垣,林宇宁,孔志强,等. PKP与过伸复位联合PVP治疗老年骨质疏松性胸腰椎压缩性骨折的对比研究[J]. 中国医学创新,2019,16(14):29-33.
[9] 陈磊,李江华,曹城彰. PKP与PVP在治疗骨质疏松性腰椎压缩性骨折中的对比研究[J]. 中西医结合心血管病电子杂志,2019,7(24):187,190.
[10] 高海涛. 骨质疏松胸腰椎压缩性骨折PVP术后再发骨折因素的临床研究[J]. 康颐,2023,15(13):154-156.