经皮椎体后凸成形术对老年骨质疏松性椎体骨折患者心身状况的影响  

Influence of Percutaneous Kyphoplasty on Psychosomatic Status of Elderly Patients with Osteoporotic Vertebral Fracture

作　　者：张威[1] 刘艳成[2] 赵丽[3] 金宝城[2] 赵胜军[2] 朴海旺 ZHANG Wei(Chengde Medical College,Hebei Chengde 067000,China)

机构地区：[1]承德医学院,河北承德067000 [2]河北省承德市中心医院,河北承德067000 [3]承德医学院附属医院超声科,河北承德067000

出　　处：《河北医学》2020年第12期2048-2053,共6页Hebei Medicine

基　　金：河北省承德市科学技术研究与发展计划项目,(编号:201801A007)。

摘　　要：目的:探讨经皮椎体后凸成形术治疗老年骨质疏松性椎体骨折患者心身状况变化。方法:回顾性分析收集2009年1月至2019年12月在承德市中心医院骨二科住院的114例老年骨质疏松性椎体骨折患者,按患者是否手术治疗分为手术组和对照组,手术组患者70例,对照组44例。采用汉密尔顿焦虑量表(HAMA-14)、汉密尔顿抑郁量表(HAMD-24)、睡眠质量指数量表(PSQI)、微型营养评定简表(MNA-SF)、ADL量表评定患者身心状况。采用独立样本t检验、卡方检验比较患者治疗前、后心身状况差异。结果:手术组与对照组相比,治疗前焦虑、抑郁、睡眠、营养、生活自理情况无统计学差异;治疗后焦虑、抑郁、睡眠情况、生活自理情况有统计学差异,营养无统计学差异。手术组治疗前与治疗后相比,焦虑、抑郁、睡眠情况、生活自理情况有统计学差异,营养无统计学差异。对照组治疗前与治疗后相比,焦虑有统计学差异,抑郁、睡眠、营养、生活自理情况无统计学差异。结论:接受手术治疗的患者焦虑、抑郁、睡眠情况、生活自理情况明显改善,经皮椎体后凸成形术治疗有利于改善老年骨质疏松性椎体骨折患者心身状况。Objective:To investigate the changes of the status of the elderly patients with osteoporosis vertebral fractures treated by percutaneous kyphoplasty.Methods:114 elderly patients with osteoporotic vertebral fractures admitted to the second department of orthopedics,chengde central hospital from January 2009 to December 2019 were continuously collected.The patients were divided into operation group and control group according to whether they received surgical treatment.There were 70 patients in the operation group and 44 patients in the control group.Hamilton anxiety scale(HAMA-14),Hamilton depression scale(HAMD-24),sleep quality index scale(PSQI),mini-nutrition assessment brief form(MNA-SF)and ADL scale were used to assess the psychosomatic status of patients.Independent sample t test and chi-square test were used to compare the psychosomatic status of patients before and after treatment.Results:Compared with the control group,there were no significant differences in anxiety,depression,sleep,nutrition and self-care before treatment;After treatment,there were statistically significant differences in anxiety,depression,sleep and self-care,but no statistically significant differences in nutrition.Compared with the treatment group before and after treatment,there were statistically significant differences in anxiety,depression,sleep and self-care,but no statistically significant differences in nutrition.Compared with the control group before and after treatment,there were statistically significant differences in anxiety,but no statistically significant differences in depression,sleep,nutrition,and self-care.Conclusions:Anxiety,depression,sleep and self-care were significantly improved in patients receiving surgical treatment,and percutaneous kyphoplasty was beneficial to improve the psychosomatic status of elderly patients with osteoporosis vertebral fracture.

关 键 词：老年 骨质疏松 椎体骨折 经皮椎体后凸成形术 心身状况 

分 类 号：R687.3[医药卫生—骨科学]