腰背肌功能锻炼预防脊柱骨折术后再骨折的临床价值  

Clinical value of waist-dorsal muscles function exercise in preventing re-fracture after spinal fracture surgery

作　　者：张少峰 杨永辉 李艳龙 ZHANG Shaofeng;YANG Yonghui;LI Yanlong(Baoji People's Hospital,Baoji 721000;Baoji West Machine Hospital,Baoji 722405,China)

机构地区：[1]宝鸡市人民医院,陕西宝鸡721000 [2]宝鸡西机医院,陕西宝鸡722405

出　　处：《临床医学研究与实践》2024年第28期75-78,共4页Clinical Research and Practice

摘　　要：目的探究腰背肌功能锻炼预防脊柱骨折术后再骨折的临床价值。方法选择2019年8月至2021年2月确诊为脊柱骨折并接受手术治疗的90例患者为研究对象,按照随机数字表法将其分为研究组(n=45,术后接受腰背部肌肉功能锻炼)和对照组(n=45,开展常规术后康复锻炼),各45例。比较两组的视觉模拟量表(VAS)、Oswestry功能障碍指数(ODI)评分、椎体高度、骨密度及再骨折发生情况。结果入院时,两组的VAS评分比较,差异无统计学意义(P>0.05);术后1个月,研究组的VAS评分高于对照组,差异具有统计学意义(P<0.05);术后6、12个月,研究组的VAS评分低于对照组,差异具有统计学意义(P<0.05)。入院时、术后1个月,两组的ODI评分比较,差异无统计学意义(P>0.05);术后6、12个月,研究组的ODI评分低于对照组,差异具有统计学意义(P<0.05)。术后6、12个月,研究组的椎体前缘高度、中部高度高于对照组,差异具有统计学意义(P<0.05);入院时及术后6、12个月,两组的椎体后缘高度比较,差异无统计学意义(P>0.05)。术后12个月,研究组的骨密度高于对照组,差异具有统计学意义(P<0.05);两组的再骨折发生率比较,差异无统计学意义(P>0.05)。结论腰背肌功能锻炼有助于缓解脊柱骨折术后患者的疼痛程度,改善椎体功能,恢复椎体高度,增加骨密度,值得推广。Objective To explore the clinical value of waist-dorsal muscles function exercise in preventing re-fracture after spinal fracture surgery.Methods A total of 90 patients who were diagnosed with spinal fractures and underwent surgical treatment from August 2019 to February 2021 were selected as the research objects.According to the random number table method,the patients were divided into study group(n=45,postoperative waist-dorsal muscles function exercise)and control group(n=45,routine postoperative rehabilitation exercise),with 45 cases in each group.The Visual Analogue Scale(VAS),Oswestry Disability Index(ODI)scores,vertebral height,bone mineral density and re-fracture were compared between the two groups.Results At admission,there was no significant difference in VAS score between the two groups(P>0.05);at 1 month after operation,the VAS score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05);at 6 and 12 months after operation,the VAS score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).At admission and 1 month after operation,there was no significant difference in ODI score between the two groups(P>0.05);at 6 and 12 months after operation,the ODI score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).At 6 and 12 months after operation,the anterior height and middle height of vertebral body of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05);at admission,6 and 12 months after operation,there was no significant difference in the posterior height of vertebral body between the two groups(P>0.05).At 12 months after operation,the bone mineral density of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05);there was no significant difference in the incidence of re-fracture between the

关 键 词：腰背肌功能锻炼 脊柱骨折 椎体高度 疼痛度 骨密度 

分 类 号：R687.3[医药卫生—骨科学]