床托快速复位法治疗胸腰椎压缩骨折的效果观察

摘要

目的：观察床托快速复位法治疗胸腰椎压缩骨折的效果。方法选取2012年8月~2014年8月入院治疗的胸腰椎压缩骨折患者70例作为研究对象，采用随机数字表将患者分为对照组和观察组，对照组行垫枕复位法，观察组行床托快速复位法。采用视觉模拟评分(VAS)和日常功能活动受限程度评分法评估两组的疼痛和活动功能，记录两组治疗前后的椎体前缘高度、伤椎高度矫正率、脊柱后凸角度(脊柱Cobb角)。结果观察组治疗后的VAS评分、功能评分为(1.31±0.82)、(0.86±0.23)分，显著低于对照组(P<0.05)；观察组治疗后的椎体前缘高度、伤椎高度矫正率分别为(0.81±0.13)cm、(89.38±4.52)%，显著高于对照组，脊柱Cobb角为(4.48±2.55)º，显著小于对照组(P<0.05)。观察组的疼痛缓解时间、下床活动时间、住院时间分别为(6.26±1.15)、(12.86±1.33)、(18.08±2.01)d，均显著短于对照组(P<0.05)。结论床托快速复位法治疗胸腰椎压缩骨折可减轻患者的疼痛程度，促使伤椎恢复正常高度，提高其活动功能。%Objective To observe the effect of bed support fast reposition method in the treatment of thoracolumbar compression fracture. Methods 70 patients with thoracolumbar compression fracture admitted to our hospital were se-lected as research subjects from August 2012 to August 2014 and they were divided into control group and observation group using the random number table.Control group was given bolster reposition method,and observation group was giv-en bed support fast reposition method.VAS score and score of daily functional activity limitation method were used to evaluate pain and activity and function,and height of vertebral anterior edge,correction rate of injured vertebrae height, and kyphosis angle (spinal Cobb angle) before and after treatment in two groups. Results VAS score and function score in observation group after treatment [(1.31±0.82) and (0.86±0.23) points respectively] were significantly lower than those in control group (P<0.05);height of vertebral anterior edge and correction rate of injured vertebrae height [ (0.81±0.13) cm and (89.38±4.52)%respectively] were significantly higher than those in control group (P<0.05).Spinal Cobb an-gle [(4.48±2.55)o] in observation group was significantly smaller than that in control group (P<0.05).Pain alleviating time, time of out-of-bed activity and hospitalization time [(6.26±1.15),(12.86±1.33) and (18.08±2.01) d respectively] were sig-nificantly shorter than those in control group (P<0.05). Conclusion Bed support fast reposition method in the treatment of thoracolumbar compression fracture can alleviate patients’pain degree,promote injured vertebrae to recover to normal height,and improve its activity function.