|
|
|
| Effect of Bone Mineral Density on Bone Pain in Elderly Patients with Spinal Fracture and Analysis of Risk Factors |
| LI Hao, LI Xiao-miao, SHEN Yi, et al |
| Department of Orthopaedics, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 201100, China |
|
|
|
|
Abstract 【Objective】 To investigate the effect of bone mineral density (BMD) on the bone pain and operative prognosis in elderly patients with spinal fracture. 【Methods】 From July to December 2017, 118 elderly patients (> 60 years old) with spine fracture who were operated in our orthopedic department were collected. The BMD was measured by dual energy X-ray. According to the BMD level, they were divided into low level BMD group (t value < 1.0) and high level BMD group (t value ≥ 1.0). The degree of pain was assessed by VAS in both groups, and the prognosis of the patients was evaluated by postoperative related indexes.【Results】 The VAS score of the low-level BMD group was significantly higher than that of the high-level BMD group (P<0.05) at 12 h and 24 h after operation, but there was no significant difference between the two groups at 48 h after operation (P>0.05); there were significant differences between the two groups in the days from operation to discharge, the total days in hospital, the complicated infection and the proportion of hypokalemia (P<0.05); 12 h after operation There was a significant negative correlation between vas and BMD (P<0.05). There was no significant correlation between vas and BMD at 24 and 48 hours after operation (P>0.05). The decrease of BMD was the risk factor for the increase of the degree of bone pain (P<0.05); in addition, the postoperative infection, the number of fracture segments and the degree of vertebral compression were also the risk factors for the increase of the degree of bone pain (P<0.05).【Conclusion】 Low BMD level may be a risk factor for the level of bone pain in the elderly patients with spinal fracture. At the same time, low BMD level may also affect the prognosis of the patients.
|
|
Received: 17 May 2019
|
|
|
|
|
|
[1] 中华医学会骨质疏松和骨矿盐疾病分会.原发性骨质疏松症诊疗指南(2017)[J].中国实用内科杂志,2018,38(2):127-150.
[2] 邓晓琴,郑松波.运动与骨密度领域的研究热点和动态[J].成都体育学院学报,2018,44(2):109-115.
[3] 王亮,马远征,张妍,等.北京地区9103例体检人群骨密度流行病学调查研究[J].中国骨质疏松杂志,2014,20(8):952-955.
[4] 王和鸣,葛继荣,朱汉民,等.芪骨胶囊治疗原发性骨质疏松症临床试验总结[J].中国中医骨伤科杂志,2010,18(8):12-15.
[5] 蒋建发,孙爱军.中老年女性骨质疏松症流行病学现状、分类及诊断[J].中国实用妇科与产科杂志,2014,30(5):323-326.
[6] 高万露,汪小海.视觉模拟疼痛评分研究的进展[J].医学研究杂志,2013,42(12):144-146.
[7] 卞庆来,邹小娟,戴红,等.绝经后骨质疏松症患者舌象瘀斑指数与骨密度T值及骨痛VAS评分相关性探讨[J].中国骨质疏松杂志,2016,22(3):326-329.
[8] 邹菁.唑来膦酸联合降钙素对老年骨质疏松性骨折患者骨密度和VAS评分的影响[J].河北医药,2016,38(4):526-528.
[9] 陶静,曲崇正.针灸对骨质疏松性腰椎压缩性骨折患者VAS评分、骨密度及疗效的影响[J].实用临床医药杂志,2017,21(21):100-101. |
|
|
|
2020, Vol. 37 
