国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
17期
2553-2555
,共3页
股骨颈骨折%假体置换术%内固定术%疼痛程度%关节功能
股骨頸骨摺%假體置換術%內固定術%疼痛程度%關節功能
고골경골절%가체치환술%내고정술%동통정도%관절공능
Femoral neck fracture%Prosthesis replacement%Internal fixation%Pain%Joint function
目的 分析髋关节置换对老年股骨颈骨折患者疼痛程度及关节功能的影响.方法 选择106例老年股骨颈骨折移位型患者为研究对象,采用随机数字表法分为观察组和对照组,各53例.观察组行髋关节假体置换术,对照组行闭合复位内固定术,比较两组手术情况、疼痛程度、关节功能、并发症及治疗费用.结果 手术情况:观察组下地时间、术中出血量均明显低于对照组[(12.34±2.14) dvs(20.12±3.24)d,(35.65±4.32) ml vs(70.32±7.35) ml],t=14.587 ～ 29.605,P＜0.01;疼痛程度:术后1d、3d观察组VAS评分均明显低于对照组[(4.61 ±0.33)vs(5.16±0.35),(6.52±0.58)vs(7.64±0.82)],t=7.654 ～ 8.324,P＜0.05;关节功能:术后3个月、24个月观察组Harris评分明显高于对照组[(71.82±7.34)vs(60.33±6.56);(94.35±10.05)vs(83.79±9.16),t=5.670 ～ 8.479,P＜0.05;并发症及治疗费用:观察组并发症、再手术率均明显低于对照组(7.55％ vs 26.42％,5.66％ vs 22.64％),治疗费用明显高于对照组[(38945.35±3872.81)元vs(21873.79±2436.16)元],t/x2=6.291 ～ 17.167,P＜0.05,P＜0.01.结论 髋关节置换术能有效减轻老年髋部骨折患者疼痛程度,降低并发症,提高髋关节功能,但治疗费用明显高于内固定术.
目的 分析髖關節置換對老年股骨頸骨摺患者疼痛程度及關節功能的影響.方法 選擇106例老年股骨頸骨摺移位型患者為研究對象,採用隨機數字錶法分為觀察組和對照組,各53例.觀察組行髖關節假體置換術,對照組行閉閤複位內固定術,比較兩組手術情況、疼痛程度、關節功能、併髮癥及治療費用.結果 手術情況:觀察組下地時間、術中齣血量均明顯低于對照組[(12.34±2.14) dvs(20.12±3.24)d,(35.65±4.32) ml vs(70.32±7.35) ml],t=14.587 ～ 29.605,P＜0.01;疼痛程度:術後1d、3d觀察組VAS評分均明顯低于對照組[(4.61 ±0.33)vs(5.16±0.35),(6.52±0.58)vs(7.64±0.82)],t=7.654 ～ 8.324,P＜0.05;關節功能:術後3箇月、24箇月觀察組Harris評分明顯高于對照組[(71.82±7.34)vs(60.33±6.56);(94.35±10.05)vs(83.79±9.16),t=5.670 ～ 8.479,P＜0.05;併髮癥及治療費用:觀察組併髮癥、再手術率均明顯低于對照組(7.55％ vs 26.42％,5.66％ vs 22.64％),治療費用明顯高于對照組[(38945.35±3872.81)元vs(21873.79±2436.16)元],t/x2=6.291 ～ 17.167,P＜0.05,P＜0.01.結論 髖關節置換術能有效減輕老年髖部骨摺患者疼痛程度,降低併髮癥,提高髖關節功能,但治療費用明顯高于內固定術.
목적 분석관관절치환대노년고골경골절환자동통정도급관절공능적영향.방법 선택106례노년고골경골절이위형환자위연구대상,채용수궤수자표법분위관찰조화대조조,각53례.관찰조행관관절가체치환술,대조조행폐합복위내고정술,비교량조수술정황、동통정도、관절공능、병발증급치료비용.결과 수술정황:관찰조하지시간、술중출혈량균명현저우대조조[(12.34±2.14) dvs(20.12±3.24)d,(35.65±4.32) ml vs(70.32±7.35) ml],t=14.587 ～ 29.605,P＜0.01;동통정도:술후1d、3d관찰조VAS평분균명현저우대조조[(4.61 ±0.33)vs(5.16±0.35),(6.52±0.58)vs(7.64±0.82)],t=7.654 ～ 8.324,P＜0.05;관절공능:술후3개월、24개월관찰조Harris평분명현고우대조조[(71.82±7.34)vs(60.33±6.56);(94.35±10.05)vs(83.79±9.16),t=5.670 ～ 8.479,P＜0.05;병발증급치료비용:관찰조병발증、재수술솔균명현저우대조조(7.55％ vs 26.42％,5.66％ vs 22.64％),치료비용명현고우대조조[(38945.35±3872.81)원vs(21873.79±2436.16)원],t/x2=6.291 ～ 17.167,P＜0.05,P＜0.01.결론 관관절치환술능유효감경노년관부골절환자동통정도,강저병발증,제고관관절공능,단치료비용명현고우내고정술.
Objective To analyzed the impact of hip replacement on the pain degree and joint function in elderly patients with femoral neck fracture.Methods 106 elderly patients with femoral neck fracture were divided into an observation group and a control group,53 for each group.The observation group were treated with hip prosthesis replacement and the control group closed reduction and internal fixation.The surgical state,pain degree,and joint function were compared between these two groups.Results The time to get off bed was obviously shorter and the intra-operative bleeding volume was much less in the observation group than in the operation group [(12.34±2.14) d vs.(20.12±3.24) d and (35.65±4.32) ml vs.(70.32±7.35)ml] (t=14.587 ～ 29.605,P＜0.01).The VAS scores were markedly lower in the observation group than in the control group 1 and 3 days after the operation [(4.61±0.33) vs.(5.16±0.35) and (6.52±0.58) vs.(7.64±0.82)](t=7.654～8.324,P＜0.05).The Harris scores was significantly higher in the observation group than in the control group 3 and 24 months after the operation [(71.82±7.34) vs.(60.33±6.56) and (94.35± 10.05) vs.(83.79±9.16)](t=5.670～8.479,P＜0.05).The incidence of complications and re-operation rate were significantly lower and the treatment cost was significantly higher in the observation group than in the control group [7.55％ vs.26.42％ and 5.66％ vs.7.55％ and (38 945.35±3872.81) yuan vs.(21 873.79±2436.16) yuan](t/x 2=6.291～17.167,P＜0.05,P＜0.01).Conclusions Hip replacement can effectively alleviate the patients' pain,lower the incidence of complications,and improve the hip joint function,but its cost is significantly higher internal fixation's.
