Personal Experience in Managing Acute Compression Fractures, their Aftermath, and the Bone Pain Syndrome, in Osteoporosis
Personal Experience in Managing Acute Compression Fractures, their Aftermath, and the Bone Pain Syndrome, in Osteoporosis
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处理骨质疏松症中的急性压缩性骨折、其后果以及骨痛综合征的个人经验
DOI：
10.1007/s001980050042
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发表时间：
1998
影响因子：
4
通讯作者：
H. Frost
中科院分区：
文献类型：
--
作者：
H. Frost
抽象的。骨质疏松症患者急性症状性椎体压缩性骨折的恢复可以分为三个阶段。三十多年来，作者以下列方式管理它们。在骨折后3周的急性期，患者通常卧床4-8天，直到能够轻松地从一侧转向另一侧。然后提供背部支撑，允许患者频繁起身进行短暂的磨头间隔。在接下来的大约10周的愈合阶段，患者每2小时躺下20分钟（间歇性水平休息方案或IHRR）。随后出现脊柱前凸性腰痛阶段的患者再进行10周的IHRR。在不常见的骨痛综合征中，进行10周或偶尔更长时间的IHRR也可以缓解疼痛。当IHRR未能在依从性患者中提供早期疼痛缓解时，寻找疼痛的其他原因，通常会找到。
Abstract. Recovery from acute symptomatic vertebral compression fractures in osteoporosis patients can be said to occur in three broad stages. For over three decades the author managed them in the following way. In the 3-week-long acute stage after the fracture, the patient usually stayed in bed for 4–8 days until able to turn easily from side to side. Then a back support was provided and the patient was allowed up for frequent bur brief intervals. In the following approximately 10-week-long healing stage, the patient lay down for 20 min every 2 h (the Intermittent Horizontal Rest Regimen or IHRR). Patients who developed a subsequent lordotic low back pain stage did the IHRR for a further 10 weeks. In the uncommon bone pain syndrome, doing the IHRR for 10 weeks, or occasionally longer, also relieved pain. When the IHRR failed to provide early pain relief in a compliant patient, other causes of the pain were sought and were usually found.
影响因子：
4.1
作者：
Wenzel, TE;Schaffler, MB;Fyhrie, DP
通讯作者：
Fyhrie, DP