骨质疏松性椎体压缩骨折病人营养状态与PVP术后早期腰背部疼痛及功能相关性研究  

Study on the correlation between nutritional status and early back pain and function after PVP in patients with osteoporotic vertebral compression fracture

作　　者：刘杰[1] 胡伟[1] 吴建明[1] 李俊[2] LIU Jie;HU Wei;WU Jian-Ming;LI Jun(Department of orthopedics,The People's Hospital of Bozhou,Bozhou 236800,Anhui,China;Department of orthopedics,The Second People's Hospital of Lu'An,Lu'An 237000,Anhui,China)

机构地区：[1]安徽省亳州市人民医院骨科,安徽亳州236800 [2]六安市第二人民医院骨一科,安徽六安237000

出　　处：《肠外与肠内营养》2020年第5期303-307,共5页Parenteral & Enteral Nutrition

基　　金：安徽省2017年度高校自然科学研究项目(KJ2017A909)。

摘　　要：目的:探讨骨质疏松性椎体压缩骨折(OVCFs)病人入院时的营养状态与经皮椎体成形术(PVP)后的早期腰背部疼痛改善及功能恢复的相关性。方法:选取安徽省亳州市人民医院骨科在2014年6月至2019年3月期间就诊的131例OVCFs病人。131例病人的营养状态评估均在入院24 h进行,采用微型营养评定法(MNA-SF)评估。在入院时,术后(1 w、6 w、12 w)时,采用VAS及ODI评估腰背部疼痛及功能。结果:131例病人中,营养正常27例(20.6%),营养不良风险41例(31.3%),营养不良63例(48.1%)。术后(1 w、6 w、12 w),营养不良病人的VAS及ODI高于营养正常病人(P<0.05)。术后1 w,营养不良病人的VAS高于营养不良风险病人(P<0.05);术后6 w、12 w,营养不良病人的ODI高于营养不良风险病人(P<0.05)。术后6 w、12 w,营养不良风险病人VAS高于营养正常病人(P<0.05)。营养状态是术后(1 w、6 w、12 w)VAS及ODI的独立影响因素(P<0.05)。结论:OVCFs病人的营养状态越差,PVP术后早期腰背部疼痛越明显且功能恢复越差。Objective:To investigate the correlation between nutritional status of patients with osteoporotic vertebral compression fractures(OVCFs)at admission and early improvement of back pain and functional recovery after percutaneous vertebroplasty(PVP).Methods:131 patients with OVCFs were selected from June 2014 to March 2019.The nutritional status of 131 patients was assessed 24 hours after admission.The nutritional status was assessed by micronutrient assessment(MNA-SF).At admission,VAS and ODI were used to evaluate lumbar and back pain and function at 1,6 and 12 weeks after operation.Results:Of the 131 patients,27(20.6%)had normal nutrition,41(31.3%)had malnutrition risk and 63(48.1%)had malnutrition.After operation(1 w,6 w,12 w),the VAS and ODI of malnutrition patients were higher than those of normal nutrition patients(P<0.05).At 1w postoperatively,the VAS of malnutrition patients was higher than that of malnutrition risk patients(P<0.05);at 6 w and 12 w postoperatively,the ODI of malnutrition patients was higher than that of malnutrition risk patients(P<0.05).At 6w and 12 w after operation,the VAS of malnutrition risk patients was higher than that of normal nutrition patients(P<0.05).Nutritional status was the independent influencing factor of VAS and ODI after operation(1 w,6 w,12 w)(P<0.05).Conclusion:The worse the nutritional status of patients with OVCFs,the more obvious the early low back pain and the worse the functional recovery after PVP.

关 键 词：椎体压缩骨折 营养 疼痛 功能 

分 类 号：R687[医药卫生—骨科学] R459.3[医药卫生—外科学]