中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (30): 5544-5548.doi: 10.3969/j.issn.2095-4344.2012.30.008

• 骨与关节循证医学 evidence-based medicine of the bone and joint • 上一篇    下一篇

系统性腰背肌锻炼改善椎体成形治疗脆性骨折的中、远期效应

钟 祎1，黄阳亮2，黎艺强2，王楚怀3   

  1. 1广州医学院生理教研室，广东省广州市 510182；中山大学附属第一医院，
    2脊柱外科，
    3康复科，广东省广州市 510080
  • 收稿日期:2011-12-03 修回日期:2012-01-23 出版日期:2012-07-22 发布日期:2012-07-22
  • 通讯作者: 钟祎，博士，讲师，广州医学院生理教研室，广东省广州市 510182
  • 作者简介:钟祎☆，女，1982年生，江西省萍乡市人，汉族，2010年中山大学毕业，博士，讲师，主要从事脊柱外科的基础与临床研究。victoria0720@126.com

Medium and long term effects of systematic back muscle exercise after percutaneous vertebroplasty for osteoporotic fracture

Zhong Yi1, Huang Yang-liang2, Li Yi-qiang2, Wang Chu-huai3   

  1. 1Department of Physiology, Guangzhou Medical College, Guangzhou 510182, Guangdong Province, China;
    2Department of Spine Surgery,
    3Department of Rehabilitation, First Affiliated Hospital of Sun Yet-sen University, Guangzhou 510080, Guangdong Province, China
  • Received:2011-12-03 Revised:2012-01-23 Online:2012-07-22 Published:2012-07-22
  • Contact: Zhong Yi, Doctor, Lecturer, Department of Physiology, Guangzhou Medical College, Guangzhou 510182, Guangdong Province, China
  • About author:Zhong Yi☆, Doctor, Lecturer, Department of Physiology, Guangzhou Medical College, Guangzhou 510182, Guangdong Province, China victoria0720@126.com

PDF

453

被引次数

9

摘要：

背景：椎体成形治疗脆性骨折止痛效果确切，但中、长期疗效欠佳，术后有必要开展腰背肌锻炼以改善其临床疗效。
目的：评价系统性腰背肌锻炼对改善中、远期椎体成形治疗脆性骨折临床疗效的作用。
方法：将接受椎体成形治疗的60例脆性骨折患者随机分为实验组与对照组，术后均进行常规抗骨质疏松治疗；实验组患者额外接受系统性腰背肌锻炼，先行五点法训练，五点法完成良好者，改三点法，三点法完成良好者改一点法(飞燕式)。
结果与结论：42例患者成功完成2年随访，其中对照组20例，实验组22例。实验组治疗后6个月、1年及2年的Oswestry Disability Index指数优于对照组(P < 0.05)，治疗后1，2年的Visual Analogue Scale评分优于对照组 (P < 0.05)。表明系统性腰背肌锻炼对改善椎体成形临床疗效的作用需要6个月得以体现，起效时间较长，但能够长期维持，是椎体成形后必不可少的康复治疗措施。

关键词: 腰背肌锻炼, 经皮椎体成形, 骨质疏松, 胸腰段压缩性骨折, 日常活动

Abstract:

BACKGROUND: Percutaneous vertebroplasty has been widely used to treat osteoporotic fractures as its pain relief effect is remarkable; however, the medium and long term effects still remain in uncertainty. It is reasonable to develop back muscle exercise on the purpose of improving clinical outcomes.
OBJECTIVE: To analyze the medium and long term effects of postoperative back muscle exercises after percutaneous vertebroplasty for osteoporotic fracture.
METHODS: Sixty osteoporotic fracture patients were randomly divided into experimental group and control group to receive the percutaneous vertebroplasty. General post-operation anti-osteoporotic therapy was offered to all the patients, whereas, the experimental group received additional systematic back muscle exercise. Five points support training was used as the first training program; if the exercise was carried on without difficulty; three points support training was taught. One point support training (swallow exercise) was carried out when three points support training was fulfilled satisfy.
RESULTS AND CONCLUSION: Forty-two patients (20 in experimental group and 22 in control group) were successfully followed-up for two years. The Oswestry Disability Index of experimental group was significantly better than that of control group in 6 months, 1 and 2 years follow-up (P < 0.05). The Visual Analogue Scale of experimental group was significantly better than that of control group in one and two years follow-up (P < 0.05). It suggested that the benefit of the systematic back muscle exercise required at least 6 months to be observed; however, the favorable effect could be continued for a long time. Therefore, systematic back muscle exercise should be recommended as one of the treatment guideline for post percutaneous vertebroplasty patients.

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