摘要
目的探究周期性康复训练联合体位性复位对椎体骨质疏松性骨折术后患者功能恢复的影响.方法选取2021年5月—2022年8月我院收治的200例椎体骨质疏松性骨折患者为研究对象,按随机数字表法分为两组,每组100例.两组均接受经皮椎体后凸成形术治疗,对照组进行常规康复训练,观察组采用周期性康复训练联合体位性复位干预.对比两组患者的疼痛程度、椎体高度、后凸畸形、腰椎功能及生活活动能力.结果干预后,观察组的疼痛视觉模拟评分为(1.13±0.27)分,低于对照组的(1.69±0.38)分,差异有统计学意义(P<0.05).干预后,观察组的椎体前缘高度、椎体后缘高度分别为(25.23±2.04)mm、(23.18±2.14)mm,均高于对照组的(21.25±1.87)mm、(20.21±2.08)mm,Cobb角为(11.27±1.14)°,小于对照组的(14.49±1.96)°,组间差异有统计学意义(P<0.05).干预后,观察组的Oswestry功能障碍指数评分为(22.14±3.16)分,低于对照组的(29.13±3.37)分,Barthel指数评分为(89.33±3.75)分,高于对照组的(80.56±4.03)分,组间差异有统计学意义(P<0.05).结论周期性康复训练联合体位性复位能减轻椎体骨质疏松性骨折术后患者的腰椎疼痛,降低Cobb角度,促进椎体高度恢复,改善其腰椎功能及生活活动能力,值得临床推广使用.
Objective To explore the effect of periodic rehabilitation training combined with postural reduction on functional recovery of patients with vertebral osteoporotic fracture after operation.Methods 200 patients with vertebral osteoporotic fracture admitted to the hospital from May 2021 to August 2022 were selected as the research objects and were divided into two groups according to random number table method,with 100 patients in each group.Both groups received percutaneous kyphoplasty.The control group received routine rehabilitation training,and the observation group received periodic rehabilitation training combined with postural reduction.The pain degree,vertebral height,kyphosis,lumbar function and ability to perform activities were compared between the two groups.Results After intervention,the visual analogue scale score of the observation group was(1.13±0.27)points,lower than(1.69±0.38)points of the control group,the difference was statistically significant(P<0.05).After intervention,the anterior and posterior vertebral heights of the observation group were(25.23±2.04)mm and(23.18±2.14)mm,respectively,higher than(21.25±1.87)mm and(20.21±2.08)mm of the control group,and the Cobb angle was(11.27±1.14)°,less than(14.49±1.96)°of control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the Oswestry disability index score of the observation group was(22.14±3.16)points,lower than(29.13±3.37)points of the control group,and the Barthel index score was(89.33±3.75)points,higher than(80.56±4.03)points of the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Periodic rehabilitation training combined with postural reduction can reduce the lumbar pain and the Cobb Angle of patients with vertebral osteoporotic fracture after operation,promote the recovery of vertebral height,improve the function of the lumbar spine and the ability to live,and is worthy of clinical application.
作者
王腾
孙辉辉
WANG Teng;SUN Huihui(Department of Spinal Trauma,Jinxiang County People's Hospital,Jining Shandong,272000,China;Department of Orthopedics,Jinxiang County People's Hospital,Jining Shandong,272000,China)
出处
《反射疗法与康复医学》
2023年第8期171-174,共4页
Reflexology And Rehabilitation Medicine
关键词
椎体骨质疏松骨折
周期性康复训练
体位性复位
腰椎功能
Vertebral osteoporosis fracture
Periodic rehabilitation training
Postural reduction
Lumbar function
