引用本文:李育春,许建文,黄永光,尹利军.腰背肌功能锻炼对原发性骨质疏松性胸腰椎骨折椎体高度影响的观察[J].中国临床新医学,2012,5(7):588-591.
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腰背肌功能锻炼对原发性骨质疏松性胸腰椎骨折椎体高度影响的观察
李育春,许建文,黄永光,尹利军
535400 广西,灵山县中医院骨伤科(李育春);530023 南宁,广西中医药大学第一附属医院骨科(许建文,尹利军);538021 广西,防城港市中医医院骨科(黄永光)
摘要:
[摘要] 目的 评价腰背肌功能锻炼对原发性骨质疏松性胸腰椎骨折伤椎高度的影响。方法 选择90例原发性骨质疏松性胸腰椎疼痛初发骨折患者,运用腰背肌功能锻炼配合中西药治疗,并观察骨折椎体高度的变化等指标。结果 治疗过程无不良事件发生,治疗1个月后骨折椎体的前缘、中央和后缘高度平均恢复分别是(2.92±2.01)mm、(2.36±1.89)mm及(1.09±1.03)mm,前缘、中央和后缘高度较治疗前明显增加(P<0.05),3个月后骨折椎体高度丢失不明显(P>0.05)。结论 腰背肌功能锻炼对原发性骨质疏松性胸腰椎骨折伤椎高度恢复的近期效果良好,远期疗效有待进一步随访观察。
关键词:  原发性骨质疏松性胸腰椎骨折  腰背肌功能锻炼  临床疗效
DOI:10.3969/j.issn.1674-3806.2012.07.03
分类号:R 68
基金项目:广西科学研究与技术开发计划课题(编号:桂科攻10124001B-38);广西卫生厅重点科研课题(编号:桂卫重2010087);广西卫生厅中医药科技专项课题(编号:GZKZ10-029)
Influence of functional exercise of the lumbodorsal muscles on the vertebral body height of primary thoracolumbar vertebral osteoporotic fracture
LI Yu-chun, XU Jian-wen, HUANG Yong-guang, et al.
Department of Orthopedics, Lingshan Traditional Chinese Medicine Hospital,Guangxi 535400,China
Abstract:
[Abstract] Objective To evaluate the influence of functional exercise of the lumbodorsal muscles on the vertebral body height of primary thoracolumbar vertebral osteoporotic fracture.Methods Ninety patients with primary thoracolumbar vertebral osteoporotic fracture were treated with functional exercise of lumbodorsal muscles and with the chinese and western medicine as the adjunct treatment, aiming at observing the changes of vertebral body height.Results There was no adverse events to be found in the course of treatment. After 1 month, the average vertebral height restoration of the anterior edge, middle and posterior edge were(2.92± 2.01)mm,(2.36±1.89)mm and(1.09±1.03)mm.When comparing pre-treatment with after treatment, the anterior edge, middle edge and posterior edge vertebral height restoration were different(P<0.05).After 3 months, there were not evident of the loss of vertebral body height.Conclusion Functional exercise of the lumbodorsal muscles for primary thoracolumbar vertebral osteoporotic fracture have obvious short-term efficiency, but long-term effect needs further follow-up observation.
Key words:  Primary thoracolumbar vertebral osteoporotic fracture  Functional exercise of the lumbodorsal muscles  Clinical effect