多因素回归分析对老年急性脊椎骨折患者预后的相关性影响.docVIP

精品论文 参考文献 多因素回归分析对老年急性脊椎骨折患者预后的相关性影响 孙启明，吴 鹏，（山东省枣庄市峄城区人民医院曹庄分院，枣庄 峄城277300） 【摘要】目的：总结老年急性脊椎骨折患者的类型、节段、变形程度等多因素回归分析及预后的相关性影响。方法：我院自2012年8月至2013年8月对老年急性脊椎骨折患者147例作为研究对象进行回顾性分析，在３周、３个月、６个月、１２个月后以问卷调查（疼痛程度、残疾程度、日常生活行为和生活质量的数据）对其进行评分，观察患者的预后的影响。结果：发生楔形性骨折69％，发生凹面性骨折19％，发生粉碎性骨折12％。胸椎和腰椎的骨折比例比较差异无统计学意义（Plt;0.05）。为轻度椎骨变形20.60％，为中度椎骨变形46.70％，重度椎骨变形32.7％，差异有统计学意义（Plt;0.05）。骨折变形程度与性别、年龄、骨折定位之间无关联，粉碎性骨折与重度骨折变形之间联系更为密切（Plt;0.05）。粉碎性骨折和重度变形患者的ＥＱ－５Ｄ评分较低。胸椎骨折与脊椎后凸的的改变相关。结论 多因素回归分析的老年急性患者有重度变形和粉碎性骨折预后较差。而对预后影响较小骨折节段分布、骨折类型等因素。 Multiple regression analysis of correlation on the prognosis of patients with senile acute vertebral fractures [Abstract] Objective: To summarize the effect of correlation of senile acute vertebral fractures were type, section, deformation degree, multi factor regression analysis and prognosis. Methods: in our hospital from 2012 August to 2013 August in elderly patients with acute vertebral fractures in 147 patients as the research object were retrospectively analyzed, the investigation by the questionnaire in 3 weeks, 3 months, 6 months, 12 months later (the degree of pain, disability, activities of daily living and quality of life data) on the to score, to observe the effects of the prognosis of the patients. Results: the incidence of wedge fractures occurred in 69%, concave fractures in 19%, comminuted fractures in 12% place. No statistical significance of the thoracic and lumbar fracture ratio difference (Plt;0.05). For mild vertebral deformation of 20.60%, moderate 46.70% severe vertebral vertebral deformation, deformation of 32.7%, the difference was statistically significant (Plt;0.05). The degree of deformation and gender, age, no association between fracture orientation fracture, comminuted fracture with severe fracture deformation is more closely linked (Plt;0.05). Comminuted fractures and severe deformation of the lower scores in patients with EQ－5D. Fracture of thoracic vertebra and the spinal related convex change. Multi factor regression analys