中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
4期
517-522
,共6页
邱舜敏%陈晓璞%郑德志%林勇冰%林菁%马焕林%曾润铭
邱舜敏%陳曉璞%鄭德誌%林勇冰%林菁%馬煥林%曾潤銘
구순민%진효박%정덕지%림용빙%림정%마환림%증윤명
植入物%人工假体%股骨颈骨折%骨性关节炎%活动功能%髋关节置换%LAPAQ评分%相关性
植入物%人工假體%股骨頸骨摺%骨性關節炎%活動功能%髖關節置換%LAPAQ評分%相關性
식입물%인공가체%고골경골절%골성관절염%활동공능%관관절치환%LAPAQ평분%상관성
arthroplasty,replacement,hip%treatment outcome%forecasting%activities of daily living
背景:置换前步行能力和活动功能能够很好的预测患者髋关节置换后的康复和功能状态,但对于置换前没有任何行走能力的股骨颈骨折患者来说,无法使用这些客观评估手段来预测置换后功能效果。<br> 目的:探讨置换前主观活动功能评估对老年髋关节置换患者置换后6个月活动功能预测的效果,并分析影响置换后6个月活动功能的患者特征资料。<br> 方法:前瞻性研究了两个中心在2010年11月和2013年2月期间收治的髋关节置换病例,分为股骨颈骨折行全髋关节置换组、髋关节骨性关节炎行全髋关节置换组和股骨颈骨折行人工股骨头置换组。评估各组患者的特征资料、伤前(骨折患者)或置换前(骨性关节炎患者)2周SF-36评分和LAPAQ评分与置换后6个月患者主观和客观活动功能评价的相关性。置换后6个月主观功能评价包括LAPAQ问卷调查表、SF-36评分量表,客观功能评价包括起立-行走测定和六分钟步行测试。<br> 结果与结论:115例患者完成研究。①置换前LAPAQ评分和SF-36评分均能预测股骨颈骨折和骨性关节炎患者在髋关节置换后6个月的主观和客观活动功能状态。置换前LAPAQ评分对置换后活动功能的预测似乎优于置换前SF-36评分。对于置换前无法用客观活动功能评价的髋部骨折患者来说,置换前LAPAQ评分是一种预测置换后6个月活动功能的方法。②与置换前相比,股骨颈骨折患者在术后6个月能够恢复到伤前的70%-80%活动功能,骨性关节炎患者在置换后活动功能明显优于置换前,在置换后6个月,能够增加约27%活动功能。③患者的基本特征也影响置换后的活动功能,其中并发症数是影响置换后6个月功能最主要的因素。
揹景:置換前步行能力和活動功能能夠很好的預測患者髖關節置換後的康複和功能狀態,但對于置換前沒有任何行走能力的股骨頸骨摺患者來說,無法使用這些客觀評估手段來預測置換後功能效果。<br> 目的:探討置換前主觀活動功能評估對老年髖關節置換患者置換後6箇月活動功能預測的效果,併分析影響置換後6箇月活動功能的患者特徵資料。<br> 方法:前瞻性研究瞭兩箇中心在2010年11月和2013年2月期間收治的髖關節置換病例,分為股骨頸骨摺行全髖關節置換組、髖關節骨性關節炎行全髖關節置換組和股骨頸骨摺行人工股骨頭置換組。評估各組患者的特徵資料、傷前(骨摺患者)或置換前(骨性關節炎患者)2週SF-36評分和LAPAQ評分與置換後6箇月患者主觀和客觀活動功能評價的相關性。置換後6箇月主觀功能評價包括LAPAQ問捲調查錶、SF-36評分量錶,客觀功能評價包括起立-行走測定和六分鐘步行測試。<br> 結果與結論:115例患者完成研究。①置換前LAPAQ評分和SF-36評分均能預測股骨頸骨摺和骨性關節炎患者在髖關節置換後6箇月的主觀和客觀活動功能狀態。置換前LAPAQ評分對置換後活動功能的預測似乎優于置換前SF-36評分。對于置換前無法用客觀活動功能評價的髖部骨摺患者來說,置換前LAPAQ評分是一種預測置換後6箇月活動功能的方法。②與置換前相比,股骨頸骨摺患者在術後6箇月能夠恢複到傷前的70%-80%活動功能,骨性關節炎患者在置換後活動功能明顯優于置換前,在置換後6箇月,能夠增加約27%活動功能。③患者的基本特徵也影響置換後的活動功能,其中併髮癥數是影響置換後6箇月功能最主要的因素。
배경:치환전보행능력화활동공능능구흔호적예측환자관관절치환후적강복화공능상태,단대우치환전몰유임하행주능력적고골경골절환자래설,무법사용저사객관평고수단래예측치환후공능효과。<br> 목적:탐토치환전주관활동공능평고대노년관관절치환환자치환후6개월활동공능예측적효과,병분석영향치환후6개월활동공능적환자특정자료。<br> 방법:전첨성연구료량개중심재2010년11월화2013년2월기간수치적관관절치환병례,분위고골경골절행전관관절치환조、관관절골성관절염행전관관절치환조화고골경골절행인공고골두치환조。평고각조환자적특정자료、상전(골절환자)혹치환전(골성관절염환자)2주SF-36평분화LAPAQ평분여치환후6개월환자주관화객관활동공능평개적상관성。치환후6개월주관공능평개포괄LAPAQ문권조사표、SF-36평분량표,객관공능평개포괄기립-행주측정화륙분종보행측시。<br> 결과여결론:115례환자완성연구。①치환전LAPAQ평분화SF-36평분균능예측고골경골절화골성관절염환자재관관절치환후6개월적주관화객관활동공능상태。치환전LAPAQ평분대치환후활동공능적예측사호우우치환전SF-36평분。대우치환전무법용객관활동공능평개적관부골절환자래설,치환전LAPAQ평분시일충예측치환후6개월활동공능적방법。②여치환전상비,고골경골절환자재술후6개월능구회복도상전적70%-80%활동공능,골성관절염환자재치환후활동공능명현우우치환전,재치환후6개월,능구증가약27%활동공능。③환자적기본특정야영향치환후적활동공능,기중병발증수시영향치환후6개월공능최주요적인소。
BACKGROUND:Preoperative walking ability and activities are good predictors of functional recovery of patients after hip replacement. But these objective assessment tools are invalid to predict postoperative function of patients with no preoperative walking ability. <br> OBJECTIVE:To assess the effect of preoperative subjective physical activity questionnaire to predict the 6-month postoperative physical functioning outcomes in elder patients receiving hip arthroplasty, and to determine which aspects of patient’s characteristics influence 6-month postoperative physical activity. <br> METHODS:A two-center prospective audit was carried out in elder patients who underwent hip arthroplasty between November 2010 and February 2013. These patients were divided into three groups, including the group of total hip arthroplasty for fractures of the femoral neck, the group of total hip arthroplasty for osteoarthritis and the group of hemiarthroplasty for fractures of the femoral neck. Al patients had fulfil ed Longitudinal Aging Study Amsterdam-Physical Activity Questionnaire (LAPAQ) and Short Form 36 (SF-36) recal ing their physical activity at 2 weeks before the fal accident (for fractures of the femoral neck) or admission (for hip osteoarthritis). Preoperative demographic data were also col ected. Postoperative assessment regarding subjective physical activity assessment including LAPAQ and SF-36, and objective physical activity assessment including timed up and go test and six-minute walk test were evaluated at the time of 6-month postoperation. <br> RESULTS AND CONCLUSION:Total y 115 patients finished the study. Both preoperative LAPAQ and SF-36 can play a predictor to probe 6-month postoperative function of objective and subjective activity in patients with femoral neck fractures or hip osteoarthritis undergoing hip arthroplasty. Preoperative LAPAQ seems better than preoperative SF-36 to predict postoperative physical activity. For hip fracture patients, because preoperative objective function cannot be assessed, preoperative LAPAQ can play an effective and subjective index to predict postoperative function of objective activity, and physical functions can recover 70%-80%at 6 months postoperatively. For hip osteoarthritis patients, postoperative physical function can be increased by approximately 27%compared with before hip arthroplasty. Patient’s characteristics also affect the postoperative physical activity, and the occurrence of preoperative complications is a most important factor.