凝胶体位垫复位在经皮椎体成形术治疗老年椎体骨质疏松性压缩性骨折中的应用
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张磊，姚若愚
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1. 上海中医药大学附属龙华医院手术室，上海，200032；2. 上海中医药大学附属龙华医院骨伤科，上海，200032
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摘要：目的 探讨凝胶体位垫在老年骨质疏松性椎体压缩性骨折治疗中的复位疗效及安全性。方法 将92 例采用经皮椎体成形术治疗老年骨质疏松性椎体压缩性骨折的患者分为观察组与对照组各46 例，观察组于术前及术中使用凝胶体位垫，对照组使用薄枕及海绵体位垫。比较两组患者椎体复位率及皮肤并发症发生情况。结果 两组患者椎体均得到满意的复位，复位率及皮肤水泡发生率上，差异不具有统计学意义（P ＞ 0.05），但观察组患者在压痕、皮肤潮红、压疮发生率上明显少于对照组患者，差异具有统计学意义（P＜0.05）。结论 在椎体成形术前及术中应用凝胶体位垫，可达到与传统体位垫相同的复位疗效，且明显减少皮肤并发症，达到保护患者安全的目的，值得临床推广。
关健词：凝胶垫；经皮椎体成形术；压疮
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Application of gel position pad reduction in percutaneous vertebroplasty for senile vertebral osteoporotic compression fractures
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Lei Zhang,Ruoyu Yao
1.Operating Room of Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai, 200032 , China；2.Department of Orthopedics, Longhua Hospital Affiliated to Shanghai Universityof Traditional Chinese Medicine, Shanghai, 20003
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Abstract:Objective To investigate the efficacy and safety of gel position pad in the treatment of senile osteoporotic vertebralcompression fractures.Methods 92 cases of senile osteoporotic vertebral compression fracture treated by percutaneousvertebroplasty were divided into the observation group and the control group, each with 46 cases. The observation group usedgel position pad before and during the operation, and the control group used thin pillow and sponge position pad. Compare thevertebral reduction rate and incidence of skin complications between two groups of patients.Result Both groups of patientsachieved satisfactory reduction of the vertebral body, and there was no statistically significant difference in reduction rate and incidenceof skin blisters (P>0.05). However, the observation group had significantly lower incidence of indentation, skin flushing,and pressure ulcers compared to the control group, and the difference was statistically significant (P<0.05).Conclusion Theapplication of gel position pad before and during vertebroplasty can achieve the same reduction effect as the traditional positionpad, significantly reduce skin complications, and achieve the purpose of protecting patients’ safety, which is worthy of clinicalpromotion.
Keywords : gel pad; Percutaneous vertebroplasty; Pressure ulcer
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