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目的:分析经皮椎体成形术治疗老年骨质疏松性脊柱骨折的临床效果。方法:将2013年1月至2016年12月扶沟鸿昌医院50例老年骨质疏松性脊柱骨折患者按照随机表随机分两组。保守组实施保守治疗,手术组实施经皮椎体成形术治疗。比较两组骨质疏松性脊柱骨折治疗效果,褥疮等并发症发生率,干预前后患者疼痛程度、伤椎高度、生活质量。结果:手术组骨质疏松性脊柱骨折治疗效果高于保守组,差异具有统计学意义(P<0.05);手术组褥疮等并发症发生率低于保守组,差异具有统计学意义(P<0.05);干预前两组疼痛程度、伤椎高度、生活质量相近,差异均无统计学意义(P>0.05);6个月后两组疼痛程度、伤椎高度、生活质量优于治疗前,差异具有统计学意义(P<0.05),6个月后手术组疼痛程度、伤椎高度、生活质量优于保守组,差异具有统计学意义(P<0.05)。结论:经皮椎体成形术治疗老年骨质疏松性脊柱骨折的临床效果确切,可减轻患者痛苦,恢复椎体高度,减少卧床并发症,改善患者生活质量。
Objective: To analyze the clinical effect of percutaneous vertebroplasty in the treatment of elderly osteoporotic spine fractures. Methods: From January 2013 to December 2016, 50 elderly patients with osteoporotic spine fracture in Fugong Hongchang Hospital were randomly divided into two groups according to a randomized table. Conservative group to implement conservative treatment, surgery group percutaneous vertebroplasty. The therapeutic effect of osteoporotic spinal fractures, the incidence of complications such as bed sores, the degree of pain before and after intervention, the height of injured vertebra and the quality of life were compared between the two groups. Results: The operative effect of osteoporotic vertebral fracture in the operation group was higher than that in the conservative group (P <0.05). The complication rate of bedsore in the operation group was lower than that in the conservative group (P <0.05) ); The pain level, vertebral height and quality of life in the two groups before intervention were similar (P> 0.05). After 6 months, the pain degree, vertebral height and quality of life in the two groups were better than those before treatment (P <0.05). After 6 months, the pain degree, vertebral height and quality of life in the operation group were better than those in the conservative group, the difference was statistically significant (P <0.05). Conclusion: Percutaneous vertebroplasty for the treatment of osteoporotic spine fractures in elderly patients with definite clinical results can reduce pain, restore vertebral height, reduce bed complications and improve patient quality of life.