滑动式腰背肌功能锻炼在老年椎体压缩骨折患者 康复中的应用研究.docVIP

滑动式腰背肌功能锻炼在老年椎体压缩骨折患者 康复中的应用研究 　　摘要：目的：探讨滑动式腰背肌功能锻炼在老年椎体压缩骨折患者康复中的应用。方法：选取老年椎体压缩骨折患者80例，数字随机分为观察组和对照组，每组40例。对照组给予传统腰背肌功能锻炼，观察组给予滑动式腰背肌功能锻炼。对两组患者康复效果及治疗依从性情况进行观察。结果：治疗第4周观察组肌力恢复及疼痛缓解情况均明显优于对照组（P0.05）；观察组运动功能评分为（0.92±0.06）分，明显低于对照组的（1.89±0.08）分（P0.05）；观察组治疗依从性显著高于对照组（P0.05）。结论：滑动式腰背肌功能锻炼可明显改善老年椎体压缩骨折患者的肌力，缓解疼痛，有利于患者早日康复，值得推广与使用。 　　关键词：腰背肌功能锻炼；椎体压缩骨折；滑动式 　　Abstract：Objective: To investigate application of sliding back muscle exercise on the rehabilitation of elderly patients with vertebral compression fractures. Methods: 80 cases of elderly patients with vertebral compression fractures were selected and randomly divided into observation group and control group, 40 cases in each group. Patients in control group were given traditional back muscle exercise, and patients in observation group were given sliding back muscle exercise. The rehabilitation efficacy and treatment compliance of two groups were observed. Results: After treatment 4 weeks,muscle recovery, and pain relief situations of observation group were significantly better than control group(P0.05); After treatment 12 weeks, the motor function score of observation group was (0.92±0.06) points, which was significantly lower than control group (1.89±0.08) points (P0.05); The treatment compliance of observation group was significantly higher than control group (P 0.05). Conclusion: sliding back muscle exercise can significantly improve muscle of elderly patients with vertebral compression fractures, relieve pain, and help recover, worthy of promotion. 　　Key words： back muscle exercise; vertebral compression fractures; sliding 　　椎体压缩骨折在临床中比较常见，以老年患者居多，严重影响了老年患者的晚年生活，且近年来临床收治的椎体压缩骨折老年患者数量有逐年增多的趋势，应引起临床的重视。椎体压缩骨折老年患者采用保守治疗需配合长时间卧床，使得患者易发生再次骨折，腰背肌功能锻炼能减少患者再次骨折的风险。然而，老年患者应用传统的腰背肌功能锻炼的依从性较差，康复效果有限[1]。本研究采用滑动式腰背肌功能锻炼与传统腰背肌功能锻炼的对照研究，对滑动式腰背肌功能锻炼在老年椎体压缩骨折患者康复中的应用进行了探讨，现报道如下。 　　1 资料与方法 　　1.1 临床资料 　　选取2013年1月至2014年3月来本院治疗的老年椎体压缩骨折患者80例，男性50例，女性30例，年龄61~75岁，平均（68.12±2.34）岁。纳入标准：年龄≥60岁；单纯胸腰椎椎体压缩性骨折者；保守治疗者；认知正常者；患者及家属