系统医学2024,Vol.9Issue(1) :25-28.DOI:10.19368/j.cnki.2096-1782.2024.01.025

阿仑膦酸钠联合经皮椎体成形术治疗绝经后骨质疏松性胸腰椎压缩性骨折的临床效果分析

Clinical Outcome Analysis of Postmenopausal Osteoporotic Thoracolum-bar Compression Fractures Treated with Alendronate Combined with Per-cutaneous Vertebroplasty

黄振原 邹信明
系统医学2024,Vol.9Issue(1) :25-28.DOI:10.19368/j.cnki.2096-1782.2024.01.025

阿仑膦酸钠联合经皮椎体成形术治疗绝经后骨质疏松性胸腰椎压缩性骨折的临床效果分析

Clinical Outcome Analysis of Postmenopausal Osteoporotic Thoracolum-bar Compression Fractures Treated with Alendronate Combined with Per-cutaneous Vertebroplasty

黄振原 1邹信明1
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作者信息

  • 1. 阳春市中医院骨三科,广东阳春 529600
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摘要

目的 分析阿仑膦酸钠联合经皮椎体成形术共同干预绝经后出现骨质疏松性胸腰椎压缩性骨折的临床效果.方法 选取2021年5月—2023年8月就诊于阳春市中医院的70例绝经后出现骨质疏松性胸腰椎压缩性骨折患者作为研究对象,并使用随机数表法分为常规组及研究组,每组35例.常规组采取经皮椎体成形术治疗,研究组采取阿仑膦酸钠联合椎体成形术治疗.对比两组患者的疼痛评分、骨代谢及骨密度.结果 研究组疼痛评分治疗后 3 个月(5.39±1.24)分及治疗后 6 个月(2.18±0.29)分均低于常规组(7.21±1.23)分、(4.83±0.28)分,差异有统计学意义(t=6.164、38.891,P均<0.05);研究组患者的骨代谢及骨密度指标均优于常规组,差异有统计学意义(P均<0.05).结论 采取阿仑膦酸钠与经皮椎体成形术联合治疗,有助于提升患者的远期疗效,降低患者疼痛评分,对于改善骨代谢及骨密度指标具有积极影响.

Abstract

Objective To analyze the clinical effect of alendronate combined with percutaneous vertebroplasty in co-intervention of osteoporotic thoracolumbar compression fracture occurring after menopause.Methods 70 postmeno-pausal patients with osteoporotic thoracolumbar compression fractures admitted to Yangchun Hospital of Traditional Chinese Medicine from May 2021 to August 2023 were selected as the study objects,and were divided into routine group and research group using random number table method,with 35 cases in each group.The conventional group was treated with percutaneous vertebroplasty,while the study group was treated with alendronate combined with verte-broplasty.Pain score,bone metabolism and bone mineral density were compared between the two groups.Results The pain scores of the study group at 3 months after treatment(5.39±1.24)points and 6 months after treatment(2.18±0.29)points were lower than those of the conventional group(7.21±1.23)points and(4.83±0.28)points,and the differences were statistically significant(t=6.164,38.891,both P<0.05).The indexes of bone metabolism and bone mineral den-sity in the study group were better than those in the conventional group,and the differences were statistically signifi-cant(both P<0.05).Conclusion Adopting alendronate and percutaneous vertebroplasty combined treatment,which helps to improve the long-term efficacy of patients,reduce the pain score of patients,and has a positive impact on im-proving bone metabolism and bone density indicators.

关键词

经皮椎体成形术/阿仑膦酸钠/骨质疏松/绝经/胸腰椎压缩性骨折

Key words

Percutaneous vertebroplasty/Alendronate sodium/Osteoporosis/Menopause/Thoracolumbar compression fracture

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基金项目

阳江市医疗卫生类科技计划(2021)(SF2021171)

出版年

2024
系统医学

系统医学

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