首页|人工股骨头置换术与全髋关节置换术改善股骨颈骨折患者髋关节功能的作用研究

人工股骨头置换术与全髋关节置换术改善股骨颈骨折患者髋关节功能的作用研究

Effect of Artificial Femoral Head Replacement and Total Hip Replacement on Improving Hip Function in Patients with Femoral Neck Fracture

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目的:探讨人工股骨头置换术与全髋关节置换术改善股骨颈骨折患者髋关节功能的作用.方法:纳入2020年1月~2022年5月上海市东方医院吉安医院收治的股骨颈骨折患者55例为研究对象,以随机数字表法将患者分为两组,对照组(n=27)接受人工股骨头置换术;观察组(n=28)接受全髋关节置换术.随访时间6个月,比较两组各项指标.结果:术后6个月,观察组、对照组髋关节功能优良率进行比较,观察组更高;术前、术后3d,观察组、对照组血清白细胞介素-6、降钙素原、C反应蛋白水平进行比较均升高,组间比较,观察组更低;随访期间观察组、对照组并发症总发生率进行比较,观察组更低;术前、术后6个月,观察组、对照组生活质量评分进行比较均升高,组间比较,观察组更高,统计学差异有显著性(P<0.05).结论:股骨颈骨折患者应用全髋关节置换术可有效提高髋关节功能优良率,降低炎症反应,减少并发症,改善生活质量.
Objective:To investigate the effect of artificial femoral head replacement and total hip replacement on improving hip function in patients with femoral neck fracture.Methods:A total of 55 subjects were included in this study,all of which were selected from Ji'an Hospital of Shanghai Oriental Hospital.The subjects in this study were patients with femoral neck fracture,and the selected cases were completed from January 2020 to May 2022.The patients were divided into two groups based on the random number table method.In one group,27 patients received artificial femoral head replacement and were named as the control group.Another group of 28 patients underwent total hip replacement and was named the observation group.Follow-up time:6 months.The two groups of indicators were compared.Results:6 months after operation,the good and good rate of hip joint function between the observation group and the control group was compared,the former was higher.Compared with the preoperative level,the serum levels of IL-6,PCT and CRP in the observation group and the control group increased 3 days after surgery,the former was lower.The total complication rate of the observation group was lower than that of the control group during the follow-up period.6 months after surgery,the quality of life scores of the observation group and the control group increased,while the former was higher,and the difference was statistically significant(P<0.05).Conclusion:Total hip replacement can effectively improve the rate of good hip function,reduce inflammation,reduce complications and improve quality of life in patients with femoral neck fracture.

femoral neck fractureartificial femoral head replacementtotal hip replacementhip function

陈晓剑、王成、周宇、康昭河、姚磊

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上海市东方医院吉安医院(江西 吉安 343000)

股骨颈骨折 人工股骨头置换术 全髋关节置换术 髋关节功能

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(1)
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