骨水泥型人工髋关节置换治疗对高龄股骨转子间骨折患者关节功能及生活质量的影响(1)
【摘要】 目的：探讨骨水泥型人工髋关节置换治疗对高龄股骨转子间骨折患者关节功能及生活质量的影响。方法：选取2012年1月-2015年1月本院骨外科住院部高龄股骨转子间骨折患者89例作为研究对象，采用随机数字表法将其分为两组，对照组44例采用生物型加长柄人工髋关节置换术，观察组45例采用骨水泥型人工髋关节置换术，比较两组各项临床指标、Harris评分及Barthel指数评分。结果：两组手术时间比较差异无统计学意义(P>0.05)；观察组术中出血量、术后出血量、手术总出血量均明显少于对照组，比较差异均有统计学意义(P<0.05)；观察组下床时间明显短于对照组，比较差异有统计学意义(P<0.05)。手术前，两组Harris评分及Barthel指数评分比较，差异均无统计学意义(P>0.05)；手术后1、3、6个月，观察组上述指标均明显高于对照组，比较差异均有统计学意义(P<0.05)；观察组手术后6个月髋关节恢复优良率高于对照组，比较差异有统计学意义(P<0.05)。两组并发症发生率比较，差异无统计学意义(P<0.05)。结论：骨水泥型人工髋关节置换治疗对高龄股骨转子间骨折患者的临床疗效显著，有助于显著改善患者髋关节功能与生活质量，值得临床推广应用。
【关键词】 人工髋关节置换； 股骨转子间骨折； 关节功能； 生活质量
【Abstract】 Objective：To investigate the effect of bone cement type artificial hip joint replacement for elderly patients with femoral intertrochanteric fracture on joint function and life quality.Method：89 elderly patients with femoral intertrochanteric fracture in the orthopedic surgery department of our hospital from January 2012 to January 2015 were selected as the research objects.They were divided into two groups by using the random number table method.44 cases in the control group were given biological type longer handle artificial hip replacement，45 cases in the observation group were given bone cement type artificial hip joint replacement.The clinical indexes，Harris score and Barthel index score were compared between the two groups.Result：The difference in the operation time between the two groups was not statistically significant(P>0.05).The intra-operative bleeding volume，post-operative bleeding volume and total bleeding volume of the observation group were significantly less than those of the control group，the getting out bed time of the observation group was significantly shorter than that of the control group，the differences were all statistically significant(P<0.05).Before surgery，the differences in Harris score and Barthel index score between the two groups were not statistically significant(P>0.05)，1 month and 3，6 months after operation，the above indexes of the observation group were significantly higher than those of the control group，the differences were statistically significant(P<0.05).The excellent and good rate of the recovery of hip joint in the observation group was higher than that in the control group，the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion：Bone cement type artificial hip replacement for elderly patients with femoral intertrochanteric fracture has significant clinical efficacy，it can significantly improve the hip function and life quality，it is worthy of clinical promotion and application., 百拇医药(曾健聪 沈友任 林卓峰)
【关键词】 人工髋关节置换； 股骨转子间骨折； 关节功能； 生活质量
【Abstract】 Objective：To investigate the effect of bone cement type artificial hip joint replacement for elderly patients with femoral intertrochanteric fracture on joint function and life quality.Method：89 elderly patients with femoral intertrochanteric fracture in the orthopedic surgery department of our hospital from January 2012 to January 2015 were selected as the research objects.They were divided into two groups by using the random number table method.44 cases in the control group were given biological type longer handle artificial hip replacement，45 cases in the observation group were given bone cement type artificial hip joint replacement.The clinical indexes，Harris score and Barthel index score were compared between the two groups.Result：The difference in the operation time between the two groups was not statistically significant(P>0.05).The intra-operative bleeding volume，post-operative bleeding volume and total bleeding volume of the observation group were significantly less than those of the control group，the getting out bed time of the observation group was significantly shorter than that of the control group，the differences were all statistically significant(P<0.05).Before surgery，the differences in Harris score and Barthel index score between the two groups were not statistically significant(P>0.05)，1 month and 3，6 months after operation，the above indexes of the observation group were significantly higher than those of the control group，the differences were statistically significant(P<0.05).The excellent and good rate of the recovery of hip joint in the observation group was higher than that in the control group，the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion：Bone cement type artificial hip replacement for elderly patients with femoral intertrochanteric fracture has significant clinical efficacy，it can significantly improve the hip function and life quality，it is worthy of clinical promotion and application., 百拇医药(曾健聪 沈友任 林卓峰)