岭南现代临床外科2026，Vol.26Issue(1)：54-61,8.DOI:10.3969/j.issn.1009-976X.2026.01.008
中西医结合健康管理模式在高龄骨质疏松性椎体压缩骨折患者经皮椎体成形术中的应用
Application of the integrated traditional Chinese and Western medicine health management model in percutaneous vertebroplasty for elderly patients with osteoporotic vertebral compression fractures
摘要
Abstract
Objective To investigate the application effect of the integrated traditional Chinese and Western medicine-enhanced recovery after surgery(ERAS)model in the perioperative period of Percuta-neous Vertebroplasty(PVP)for elderly patients with osteoporotic vertebral fracture(OVF).Methods A retrospective analysis was conducted on 50 elderly OVCF patients who underwent PVP at Qingyuan Hospital of Traditional Chinese Medicine,affiliated with Guangzhou University of Chinese Medicine from September 2021 to March 2022.These patients were designated as the control group and received inter-ventions according to the conventional disease management pathway.Another 50 patients with OVF who underwent the same surgery from April 2022 to September 2022 were assigned to the observation group and received a health management intervention integrating traditional Chinese and Western medicine characteristics.Perioperative indicators such as operation time,bone cement volume,length of hospital stay,hospital costs,and complication rates were collected.Data from assessment scales,including the Patient Health Questionnaire-9(PHQ-9),Visual Analogue Scale(VAS),Oswestry Disability Index(ODI),and EuroQol-5 Dimensions(EQ-5D),were collected preoperatively,on postoperative day 1,and at 6 months postoperatively.Vertebral body recovery was assessed by measuring the anterior vertebral height(AVH)and local kyphosis angle(LKA)of the injured vertebra.Results The time to ambulation and hospital stay length in the observation group were significantly shorter than those in the control group(P<0.05).Hospitalization costs were also significantly lower in the observation group compared to the control group(P<0.05).There were no significant differences in anesthesia time,bone cement volume,or operation time between the two groups(P>0.05).The pain level in the observation group was slightly lower than that in the control group on postoperative day 1,with a statistically significant difference in VAS score(P<0.05).There were no significant differences in ODI,AVH,or LKA between the two groups at preoperative,postoperative day 1,3 months,and 6 months compared to preoperative values(P>0.05).The incidence of postoperative constipation in the observation group was lower than that in the control group(P<0.05),while no significant differences were found in other complications(P>0.05).In the quality-of-life scale,the dimensions of pain/discomfort and anxiety/depression had significantly better outcomes in the observation group compared to the control group(P<0.05).Conclusion The integrated traditional Chinese and Western medicine ERAS model is a reliable and effective perioperative manage-ment strategy.It helps in early pain relief,alleviates postoperative anxiety and depression,promotes rehabilitation after PVP,and improves patients'postoperative quality of life.关键词
高龄/骨质疏松性椎体压缩骨折/经皮椎体成形术/中西医结合健康管理模式/加速康复外科Key words
elderlyosteoporotic vertebral compression fracture/percutaneous vertebroplasty/inte-grated traditional Chinese and Western medicine/enhanced recovery after surgery分类
医药卫生引用本文复制引用
李笔锋,石嘉成,杨林,胡日鹤,黄嘉升,虢舜,蓝国建,黄国星..中西医结合健康管理模式在高龄骨质疏松性椎体压缩骨折患者经皮椎体成形术中的应用[J].岭南现代临床外科,2026,26(1):54-61,8.基金项目
广东省清远市科技计划项目(211125154561241) （211125154561241）
广东省名中医杨林传承工作室建设项目 （）
