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目的探讨高黏度骨水泥治疗骨质疏松性椎体压缩骨折患者早期下床活动的效果。方法将42例分别采用高黏度和低黏度骨水泥椎体成形术(PVP)治疗骨质疏松性椎体压缩骨折的患者分为研究组和对照组各21例,研究组患者术后4 h下床活动,8 h离床活动,对照组患者术后12 h下床活动,24 h离床活动,术后3 d内CT复查观察椎旁渗漏和椎体内骨水泥分布情况。用视觉疼痛模拟评分(VAS)、日常生活活动能力评分(Barthel)、压疮风险评分(Braden)和深静脉血栓形成风险评分评价两组效果。结果两组患者均顺利手术,术后24 h、第7天VAS、Barthel评分比较差异无统计学意义(P>0.05),术后8 h Barthel、Braden评分和深静脉血栓形成风险评分比较差异有统计学意义(P<0.05),VAS差异无统计学意义。结论高黏度骨水泥治疗骨质疏松性椎体压缩骨折患者PVP术后早期下床活动能有效提高患者的日常生活活动能力,减少压疮和深静脉血栓形成的风险,减轻护士和家属的负担。
Objective To investigate the effect of high viscosity cement on early ambulation in patients with osteoporotic vertebral compression fractures. Methods Twenty-two patients with osteoporotic vertebral compression fractures treated by high-viscosity and low-viscosity osteoporotic vertebroplasty (PVP) were divided into study group (21 cases) and control group (21 cases). Patients in study group Bed activity, 8 h bed activity, control group patients get out of bed 12 h after surgery, 24 h out of bed activity, 3 d postoperative CT review paravertebral leakage and vertebral bone cement distribution. VAS score, Barthel score, pressure ulcer risk score and deep venous thrombosis risk score were used to evaluate the effect of the two groups. Results The patients in both groups were successfully operated. There was no significant difference in VAS and Barthel score between the 24th and 7th day after surgery (P> 0.05). There was significant difference in Barthel, Braden score and deep venous thrombosis risk score Statistical significance (P <0.05), VAS difference was not statistically significant. Conclusion High viscosity cement for early osteoporotic vertebral compression fractures in patients with early stage of ambulation after PVP can effectively improve the activities of patients with daily living, reduce the risk of pressure sores and deep venous thrombosis, reduce the burden on nurses and their families.