高粘度骨水泥与传统PVP及PKP治疗椎体压缩性骨折护理分析.docVIP

高粘度骨水泥与传统PVP及PKP治疗椎体压缩性骨折护理分析 　　[摘要] 目的 研究高粘度骨水泥与传统PVP及PKP治疗椎体压缩性骨折的护理要点。方法 便利选择该院于2014年1月―2015年10月?g收治的100例因骨质疏松导致椎体压缩性骨折的患者，按照随机数字表法将患者划分为观察组与对照组各50例，为观察组患者提供高粘度骨水泥经皮椎体成形术（PVP）治疗，为对照组提供低粘度骨水泥经皮椎体成形术（PVP）治疗，评价两组患者术后椎体渗漏率、疼痛评分及生活质量评分。结果 观察组患者再骨折4.00%（2例）、骨折椎体渗漏率0.00%（0例）均优于对照组14.00%（7例）、6.00%（3例）（χ2=6.105， 6.186， P0.05）；末次随访时再次测评结果提示观察组患者疼痛评分优于对照组（t=54.216，P0.05）。观察组患者治疗后活动能力、精力、睡眠质量、情绪等生活质量指标评分均优于对照组（t=38.655、31.578、41.502、39.191，P0.05）。 结论 采用高粘度骨水泥PVP治疗椎体压缩性骨折患者，取得较好疗效，有效缓解患者椎体疼痛，提高生活质量，降低并发症发生率。 　　[关键词] PVP；PKP；骨水泥；骨质疏松；椎体骨折 　　[中图分类号] R687 [文献标识码] A [文章编号] 1674-0742（2018）03（a）-0150-03 　　Clinical Observation of High Viscosity of Bone Cement during the Traditional PVP and PKP 　　ZHANG Li-xia， LI Hong-ying， ZHANG Hui， LUO Shi-ying， ZHANG Yu-shan 　　Department of Orthopedics， Heyuan Hospital of Traditional Chinese Medicine， Heyuan， Guangdong Province， 517000 China 　　[Abstract] Objective This paper tries to analyze the clinical application of high viscosity of bone cement during the traditional PVP and PKP. Methods 100 patients with vertebral compression fracture induced by osteoporosis treated from January 2014 to October 2015 in this hospital were convenient selected. The subjects were randomly divided into two groups， with 50 cases each group. The observation group took the high viscosity of bone cement during the PVP therapy. The control group took the low viscosity of bone cement during the PVP therapy. The vertebral leakage rate， pain scores and life quality index were evaluated. Results The rate of repeated fracture and vertebral leakage for observation group was 4.00% （2 cases） and 0.00% （0 case）； the rate for control group was 14.00% （7 cases） and 6.00% （3 cases） （χ2=6.105， 6.186， P0.05）； during the last follow-up visit， the pain score for observation group was better than control group （t=54.216， P0.05）； the life quality index like activity of daily living， energy， sleeping quality， emotion for observation group were better than control group （t=38.655