Clinical effect analysis of percutaneous vertebroplasty in the treatment of senile osteoporotic spinal fractures
经皮椎体成形术用于老年骨质疏松性脊柱骨折临床治疗的效果分析

摘要

目的 探讨老年骨质疏松性脊柱骨折用经皮椎体成形术的价值。方法 对2020年7月-2021年12月本科接诊老年骨质疏松性脊柱骨折病人（n=60）进行随机分组，试验和对照组各30人，前者采取经皮椎体成形术，后者行常规治疗。对比VAS评分等指标。结果 关于ODI评分，在治疗后3个月：：试验组数据（18.24±1.25）分，和对照组（24.92±3.58）分相比更高（P＜0.05）。关于VAS评分，在治疗结束时：试验组数据（0.85±0.14）分，和对照组（2.16±0.47）分相比更低（P＜0.05）。关于功能锻炼时间，试验组数据（7.14±2.05）d，和对照组数据（14.69±3.41）d相比更短（P＜0.05）。关于总有效率，试验组数据100.0%，和对照组83.33%相比更高（P＜0.05）。关于sf-36评分，治疗结束时：试验组数据比对照组高（P＜0.05）。结论 老年骨质疏松性脊柱骨折用经皮椎体成形术，效果显著，疼痛感减轻更加明显，腰椎功能恢复更为迅速，功能锻炼时间也更短。

Abstract

Objective: To explore the value of percutaneous vertebroplasty for osteoporotic spinal fractures in the elderly.
Methods: From July 2020 to December 2021, 60 elderly patients (n=60) with osteoporotic spinal fractures were randomly divided into the trial group and the control group, with 30 patients in each group. The former received percutaneous vertebroplasty, while the latter received conventional treatment. VAS score and other indicators were compared.
Results: The ODI score of the experimental group (18.24±1.25) was higher than that of the control group (24.92±3.58) at 3 months after treatment (P < 0.05). Regarding the VAS score, at the end of treatment, the experimental group (0.85±0.14) score was lower than the control group (2.16±0.47) score (P < 0.05). The functional exercise time of the experimental group was (7.14±2.05) d, which was shorter than that of the control group (14.69±3.41) d (P < 0.05). The total effective rate of the experimental group was 100.0%, which was higher than 83.33% of the control group (P < 0.05). Regarding SF-36 scores, at the end of treatment: the data in the trial group were higher than those in the control group (P < 0.05).
Conclusion  : Percutaneous VERTEbroplasty for senile osteoporotic spinal fractures has significant effect, pain relief is more obvious, lumbar function recovery is more rapid, and functional exercise time is shorter.