中国伤残医学2024,Vol.32Issue(18) :1-3,17.DOI:10.13214/j.cnki.cjotadm.2024.018.001

双极人工股骨头置换术与全髋关节置换术治疗老年股骨颈骨折患者的效果对比

Comparison of the Efficacy of Bipolar Artificial Femoral Head Replacement and Total Hip Replacement in the Treatment of Patients with Elderly Femoral Neck Fractures

佟中豪 郁凯 杜朝晖 左维 许刚
中国伤残医学2024,Vol.32Issue(18) :1-3,17.DOI:10.13214/j.cnki.cjotadm.2024.018.001

双极人工股骨头置换术与全髋关节置换术治疗老年股骨颈骨折患者的效果对比

Comparison of the Efficacy of Bipolar Artificial Femoral Head Replacement and Total Hip Replacement in the Treatment of Patients with Elderly Femoral Neck Fractures

佟中豪 1郁凯 1杜朝晖 1左维 1许刚1
扫码查看

作者信息

  • 1. 中国航天科工集团七三一医院骨科,北京 100074
  • 折叠

摘要

目的:比较双极人工股骨头置换术与全髋关节置换术治疗老年股骨颈骨折患者的临床效果.方法:选取2019年1月—2022年 12月中国航天科工集团七三一医院收治的 80例老年股骨颈骨折患者为研究对象,根据随机数字表法将其分为对照组和研究组,各40例.对照组采用双极人工股骨头置换术治疗,研究组采用全髋关节置换术治疗.比较两组的术后疼痛评分、髋关节功能、并发症发生情况及生活质量评分.结果:术后1 d、1周、1、3和6个月,研究组疼痛视觉模拟评分均低于对照组,差异均有统计学意义(P<0.05).术后 1周、1、3和 6个月,研究组Harris髋关节量表评分均高于对照组,差异均有统计学意义(P<0.05).术后,研究组并发症发生率 10.00%低于对照组的 35.00%,差异有统计学意义(P<0.05).术后 1、3和 6个月,研究组SF-36生活质量量表评分均高于对照组,差异均有统计学意义(P<0.05).结论:与双极人工股骨头置换术比较,全髋关节置换术有助于降低老年股骨颈骨折患者的疼痛程度,促进髋关节功能恢复,减少并发症,提高生活质量.

Abstract

Objective:To investigate the clinical efficacy of bipolar femoral head replacement and total hip replacement in the treatment of elderly patients with femoral neck fracture.Methods:A total of 80 elderly patients with femoral neck fracture admitted to 731 Hospital of China Aerospace Science and Industry Corporation from January 2019 to December 2022 were selected as the research objects,and were divided into a control group and a study group according to random number table method,with 40 cases in each group.The control group was treated with bipolar artificial femoral head replacement,and the study group was treated with total hip replacement.Postoperative pain scores,hip function recovery,complications and quality of life scores were compared between the two groups.Results:At 1 day,1 week,1,3 and 6 months after operation,the visual analog scores of the study group were lower than those of the control group,with statistical significance(P<0.05).At 1 week,1,3 and 6 months after surgery,the Harris Hip Scale Score of the study group was higher than that of the control group,the differences were statistically significant(P<0.05).After operation,the complication rate of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).At 1,3 and 6 months after operation,the SF-36 Quality of Life Scale score of the study group was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Compared with bipolar artificial femoral head replacement,total hip replacement can reduce the pain degree,promote the recovery of hip function,reduce complications and improve the quality of life in elderly patients with femoral neck fracture.

关键词

老年股骨颈骨折/双极人工股骨头置换术/全髋关节置换术

Key words

Senile femoral neck fracture/Bipolar artificial femoral head replacement/Total hip replacement

引用本文复制引用

出版年

2024
中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
段落导航相关论文