Effect of comprehensive management on prevention of postoperative non-surgical vertebral re-fracture in patients with osteoporotic vertebral compression fractures treated with PVP
Effect of comprehensive management on prevention of postoperative non-surgical vertebral re-fracture in patients with osteoporotic vertebral compression fractures treated with PVP
Objective To explore the effect of comprehensive management on the prevention of postoperative non-surgical vertebral re-fracture in patients with osteoporotic vertebral compression fracture(OVCF)treated with percutaneous vertebroplasty(PVP).Methods Eighty patients with osteoporotic vertebral compression fractures in Beijing Friendship Hospital,Capital Medical University from April 2019 to April 2020 were included in this study.They were divided into the conventional management group and the comprehensive management group according to the random number table method,with 40 cases in each group.Patients in the conventional management group were given routine care for spinal frac-tures after admission.Based on the content of routine nursing,the comprehensive management group received the nursing intervention of the ex-tended nursing group composed of rehabilitation physicians,nurses and orthopedic surgeons,including three aspects:nursing,medical treatment and rehabilitation.The pain relief[visual analogue scale(VAS)score],functional recovery[Oswestry disability index(ODI)score]before and 1,3,6 and 12 months after operation and the incidence of non-surgical vertebral refracture were compared between the two groups.Results There was no statistically significant difference in VAS score between the two groups before operation and 1,3,6 and 12 months after operation(P＞0.05).At 1,3,6 and 12 months after operation,the VAS scores of the two groups were significantly lower than those before operation,and the differences were statistically significant(P＜0.05).There was no statistically significant difference in ODI score between the two groups before operation and at 1,3,6 and 12 months after operation(P＞0.05).At 1,3,6 and 12 months after operation,the ODI scores of the two groups were statistically significantly lower than those before operation,and the differences were statistically significant(P＜0.05).The inci-dence of postoperative non-surgical vertebral re-fracture in the comprehensive management group was 2.5％(1/40),which was significantly lower than that in the conventional management group[15.00％(6/40)],and the difference was statistically significant(P＜0.05).Conclu-sion Targeted comprehensive management can significantly reduce the incidence of non-surgical vertebral re-fracture in patients with OVCF af-ter PVP.It can not only alleviate the pain of patients,but also greatly reduce the burden of patients families and society.It has clinical value.
关键词
骨折,压缩性/骨质疏松/椎体成形术/综合管理/非手术椎体再骨折
Key words
Fractures compression/Osteoporosis/Kyphoplasty/Comprehensive management/Nonoperative vertebral body re-fracture
维普
万方数据