老年股骨颈骨折患者行全髋关节置换术的治疗效果探究OA
Study on the Therapeutic of Total Hip Arthroplasty in Elderly Patients with Femoral Neck Fractures
目的:分析使用全髋关节置换术治疗老年股骨颈骨折的治疗效果.方法:选取本院 2019年 6月—2021 年 6月收治的 76例老年股骨颈骨折患者为研究对象,并采取随机双盲法将其分为对照组和观察组,各38例.对照组采用半髋关节置换术治疗,观察组采用全髋关节置换术治疗.对比 2组的临床指标、治疗效果、并发症发生率、预后效果、生活质量、治疗有效率.结果:观察组手术时间长于对照组,术中出血量、总引流量均高于对照组,住院时间、首次完全负重时间均短于对照组,组间差异有统计学意义(P<0.05).术后半年和 1年,观察组Harri髋关节功能评分均高于对照组,假体髋臼外展角均小于对照组,前倾角均大于对照组,组间差异有统计学意义(P<0.05).观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).治疗后,观察组视觉模拟法评分低于对照组,独立生活能力评分高于对照组,组间差异有统计学意义(P<0.05).治疗后,2组生活质量各项评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05).观察组治疗有效率高于对照组,差异有统计学意义(P<0.05).结论:针对老年股骨颈骨折患者使用全髋关节置换术,髋关节功能恢复效果佳,并发症少.
Objective:To analysis the therapeutic effect of total hip arthroplasty in elderly with femoral neck fractures.Methods:76 elderly patients with femoral neck fractures admitted to our hospital from June 2019 to June 2021 were selected as the research subjects,and they were randomly divided into a control group and an observation group using a double-blind method,with 38 cases.The control group received treatment with semi hip replacement,while the observation group received treatment with total hip Arthroplasty.The clinical indicators,treatment outcomes,incidence of complications,prognosis,quality of life,and treatment effectiveness between two groups were compared.Results:The observation group had longer surgical time than the control group,higher intraoperative bleeding volume and total drainage volume,shorter hospital stay and complete weight-bearing time than the control group,the differences between groups were statistically significant(P<0.05).Half a year and one year after surgery,the Harris hip joint function score in the observation group was higher than that in the control group,and the hip abduction angle of the prosthesis was smaller than that in the control group,while the anterior inclination angle was greater than that in the control group,the differences between groups were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).After treatment,the Visual Analogve Scale score of the observation group was lower than that of the control group,and the independent living ability score was higher than that of the control group,the differences between groups were statistically significant(P<0.05).After treatment,the quality of life scores of both groups were higher than before treatment,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).The effective rate of treatment in the observation group is higher than that in the control group,the differences was statistically significant(P<0.05).Conclusion:The use of total hip arthroplasty for elderly patients with femoral neck fractures has a good recovery effect on hip joint function and fewer complications.
郭小玮
建昌县人民医院,辽宁 葫芦岛 125300
临床医学
老年股骨颈骨折全髋关节置换术并发症发生率
Elderly femoral neck fractureTotal hip arthroplastyIncidence of complications
《中国伤残医学》 2024 (007)
33-36 / 4
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