甲状旁腺激素对骨质疏松性椎体压缩性骨折椎体成形术后疗效的影响
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淮安市第一人民医院

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Effects of parathyroid hormone for osteoporotic vertebral compressed fractures after vertebroplasty
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HUAI`AN FIRST PEOPLE`S HOSPITAL

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    摘要:

    摘要[目的]探索甲状旁腺激素对于骨质疏松性椎体压缩性骨折椎体成形术后的疗效影响。[方法]选取2019年1月-2019年6月期间于我院治疗的骨质疏松性椎体压缩性骨折的患者,分为两组,其中对照组共40例,接受椎体成形术治疗,术后常规服用钙剂及维生素D。研究组共30例,除了对照组的治疗外,接受不小于6个月的甲状旁腺激素片段特立帕肽治疗。比较两组术前与术后不同阶段的疼痛和生活功能改善情况(VAS、ODI)。比较术后不同阶段骨密度变化情况。并追踪随访再次骨折发生率。[结果]两组术后VAS、ODI均较术前明显降低,并在术后三个月进一步降低,差异具有统计学意义(P<0.05)。但是在术后三个月,两组间VAS无明显统计学差异(P>0.05),ODI研究组较对照组有所降低(P<0.05)。术后6个月,与对照组相比,研究组VAS与ODI均较低(P<0.05)。术后6个月时,研究组骨密度较术前有所上升,并且与对照组相比较,骨密度有所增加,差异均具有统计学意义(P<0.05)。术后再次骨折发生率,研究组明显低于对照组,两者间有统计学差异(P<0.05)。[结论]骨质疏松性椎体压缩性骨折椎体成形术后使用甲状旁腺激素能够更有效的缓解疼痛、改善生活功能,并且能够增加骨密度,降低再骨折风险。

    Abstract:

    Abstract: [Objective]To investigate the clinical effects of parathyroid hormone for osteoporotic vertebral compressed fractures after vertebroplasty. [Methods]We selected from patients with osteoporotic vertebral compressed fractures in our hospital in January 2019 to June 2019, divided into two groups, including control group, a total of 40 cases treated with percutaneous vertebroplasty and postoperative taking calcium and vitamin D. Study group, a total of 30 cases, in addition to control group, accepted no less than 6 months of the parathyroid hormone treatment. Pain and function of life (VAS,ODI) were compared in different stages. And the bone mineral density was detected. The incidence of refracture was closely followed up. The data was compared with Student’s T-test or ANOVA. [Result] Both groups got less VAS and ODI scores after surgery treatment, and the scores further reduced three months later. But no significant difference between two groups was found in VAS scores either before or after the treatment until six month, when study group had statistic difference compared with control group. Since three month after the treatment,study group had lower scores in ODI than control group. Bone mineral density of the study group also increased with statistical differences at six month. The study group had significantly lower rate of refracture of the vertebra than the control group with statistically difference. [Conclusion] Parathyroid hormone for patients with osteoporotic vertebral compressed fractures after vertebroplasty can more effectively relieve pain, improve the function of life, and increase bone mineral density, reduce the risk of refractures.

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  • 收稿日期:2020-04-06
  • 最后修改日期:2020-04-06
  • 录用日期:2020-08-25
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