中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
13期
2447-2454
,共8页
陈明%勘武生%方真华%郑琼%徐敏超
陳明%勘武生%方真華%鄭瓊%徐敏超
진명%감무생%방진화%정경%서민초
骨关节植入物%骨关节植入物学术探讨%人工全髋关节置换%影响因素%疗效%髋关节功能评分%Mayo疗效评定%假体类型%手术入路%髋臼旋转中心%骨水泥%年龄%性别%体质量指数%诊断%康复训练%偏心距
骨關節植入物%骨關節植入物學術探討%人工全髖關節置換%影響因素%療效%髖關節功能評分%Mayo療效評定%假體類型%手術入路%髖臼鏇轉中心%骨水泥%年齡%性彆%體質量指數%診斷%康複訓練%偏心距
골관절식입물%골관절식입물학술탐토%인공전관관절치환%영향인소%료효%관관절공능평분%Mayo료효평정%가체류형%수술입로%관구선전중심%골수니%년령%성별%체질량지수%진단%강복훈련%편심거
背景:人工全髋关节置换后患者生活质量受多方面因素的影响,分析与置换后疗效相关的影响因素,以便采取针对性措施进行干预.
目的:探讨影响初次人工全髋关节置换疗效的相关因素.
方法:对352例初次行人工全髋关节置换患者的临床资料进行回顾性分析,根据髋关节 Harris 评分,设定影响评分的相关因素,通过卡方检验和 Spearman 等级相关分析评估各因素与初次人工全髋关节置换疗效之间的关系.并将文章结果与相关研究结果进行对比分析.
结果与结论:初次人工全髋关节置换时患者年龄、体质量指数、髋关节旋转中心、股骨偏心距和置换后康复训练对中期疗效影响明显.置换前诊断、手术入路、患者性别、假体类型等对置换后效果影响不明显.关节外科医师只有对这些影响因素给予充分的重视,正确预防、科学处理影响关节功能恢复的各种因素,将是提高患者满意度的前提条件.
揹景:人工全髖關節置換後患者生活質量受多方麵因素的影響,分析與置換後療效相關的影響因素,以便採取針對性措施進行榦預.
目的:探討影響初次人工全髖關節置換療效的相關因素.
方法:對352例初次行人工全髖關節置換患者的臨床資料進行迴顧性分析,根據髖關節 Harris 評分,設定影響評分的相關因素,通過卡方檢驗和 Spearman 等級相關分析評估各因素與初次人工全髖關節置換療效之間的關繫.併將文章結果與相關研究結果進行對比分析.
結果與結論:初次人工全髖關節置換時患者年齡、體質量指數、髖關節鏇轉中心、股骨偏心距和置換後康複訓練對中期療效影響明顯.置換前診斷、手術入路、患者性彆、假體類型等對置換後效果影響不明顯.關節外科醫師隻有對這些影響因素給予充分的重視,正確預防、科學處理影響關節功能恢複的各種因素,將是提高患者滿意度的前提條件.
배경:인공전관관절치환후환자생활질량수다방면인소적영향,분석여치환후료효상관적영향인소,이편채취침대성조시진행간예.
목적:탐토영향초차인공전관관절치환료효적상관인소.
방법:대352례초차행인공전관관절치환환자적림상자료진행회고성분석,근거관관절 Harris 평분,설정영향평분적상관인소,통과잡방검험화 Spearman 등급상관분석평고각인소여초차인공전관관절치환료효지간적관계.병장문장결과여상관연구결과진행대비분석.
결과여결론:초차인공전관관절치환시환자년령、체질량지수、관관절선전중심、고골편심거화치환후강복훈련대중기료효영향명현.치환전진단、수술입로、환자성별、가체류형등대치환후효과영향불명현.관절외과의사지유대저사영향인소급여충분적중시,정학예방、과학처리영향관절공능회복적각충인소,장시제고환자만의도적전제조건.
@@@@BACKGROUND: Life quality of patients after total hip arthroplasty wil affected by various factors, and the factors that can affect the treatment effect after replacement should be analyzed in order to take the specific measures to intervene. @@@@OBJECTIVE: To investigate the relative factors that affect the treatment effect of initial total hip arthroplasty. @@@@METHODS: The clinical data of 352 patients treated with initial total hip arthroplasty were retrospectively analyzed, and the factors that affect the scoring were determined according to the Harris score. The relationship between various factors and the treatment of total hip arthroplasty was evaluated and analyzed through chi-square test and Spearman classification. Comparative analysis was performed to compare the results of relative articles and researches. @@@@RESULTS AND CONCLUSION: Age, body mass index, hip rotation center, femoral eccentricity and post-operative rehabilitation training of the patients with initial total hip arthroplasty could affect the medium-term results after total hip arthroplasty. While the influence of preoperative diagnosis, surgical approach, patient gender and type of prosthesis on the treatment effect of total hip arthroplasty was not obvious. Adequate attention to these factors, correct prevention and scientific treatment of a variety of factors that may affect the recovery of joint function, al these effort are the prerequisites for the surgeons to improve satisfaction of the patients.