低频脉冲电疗配合无痛运动疗法在PVP治疗OVCF中的应用  

Application of low frequency pulse electrotherapy combined with painless exercise therapy in PVP treatment of OVCF

作　　者：黄瑞玉[1] 鲁尧[1] 林新源[1] HUANG Rui-yu;LU Rao;LIN Xin-yuan(Zhuhai Hospital of Guangdong Hospital of Traditional Chinese Medicine,Zhuhai 519000,Guangdong)

机构地区：[1]广东省中医院珠海医院,广东珠海519000

出　　处：《安徽医专学报》2024年第2期140-142,共3页Journal of Anhui Medical College

基　　金：珠海市医学科学技术研究基金项目(编号:ZH2202200023HJL)。

摘　　要：目的:探究低频脉冲电疗配合无痛运动疗法在经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩骨折(OVCF)患者中的应用价值。方法:收集在医院骨科接受PVP治疗的70例OVCF患者,据随机信封法划分为观察组(35例)与对照组(35例)。对照组患者实施常规围术期康复干预方案,观察组患者基于对照组常规干预方案上实施低频脉冲电疗配合无痛运动疗法。持续干预4周,比较两组干预后腰椎活动度,干预前后疼痛NRS评分、腰椎功能ODI评分、日常生活活动能力ADL评分、生活质量评分;比较两组干预总体优良率。结果:干预后,观察组患者左右弯曲、前屈及后伸、左右旋转的腰椎活动度均高于对照组(P<0.05),两组患者NRS评分及ODI评分均较治疗前降低,但观察组降低幅度大于对照组(P<0.05);两组患者ADL评分及生活质量评分均较治疗前升高,但观察组改善幅度大于对照组(P<0.05);观察组患者干预总体优良率明显高于对照组(P<0.05)。结论:骨质疏松压缩骨折患者在PVP治疗的术后采用低频脉冲电疗配合无痛运动疗法进行康复干预的效果显著,且能明显减轻腰椎疼痛感,改善腰椎功能,提升日常生活活动能力,辅助改善患者预后生活质量,值得推广。Objective:To explore the application value of low frequency pulse electrotherapy combined with painless exercise therapy in percutaneous vertebroplasty(PVP)for osteoporotic compression fracture(OVCF).Methods:Seventy patients with OVCF who received PVP treatment in the hospital were collected and divided into observation group(n=35)and control group(n=35)according to random envelope method.The control group received conventional perioperative rehabilitation intervention program,and the observation group received low-frequency pulse electrotherapy combined with painless exercise therapy based on the control group.After continuous intervention for 4 weeks,lumbar motion,pain NRS score,lumbar function ODI score,ADL score of daily living ability and quality of life score were compared between the two groups after intervention.The overall good rate of intervention was compared between the two groups.Results:After intervention,the lumbar motion in the observation group was higher than that in the control group(P<0.05).After intervention,NRS score and ODI score of the two groups were lower than those before treatment,but the reduction range of the observation group was greater than that of the control group(P<0.05).After intervention,the ADL score and quality of life score of the two groups were higher than those before treatment,but the improvement range of the observation group was greater than that of the control group(P<0.05).The overall good and good rate of the observation group which was significantly higher than of the control group(P<0.05).Conclusion:Low frequency pulse electrotherapy combined with painless exercise therapy can significantly reduce the pain of lumbar spine,improve the function of lumbar spine,enhance the ability of daily living activities,and assist to improve the prognostic quality of life in patients with osteoporosis and compression fracture after PVP treatment.It is worth promoting.

关 键 词：骨质疏松压缩骨折 经皮椎体成形术 低频脉冲电疗 无痛运动疗法 腰椎功能 

分 类 号：R473.6[医药卫生—护理学]