首页|髋关节骨缺损患者髋关节功能评分和视觉模拟评分与炎性因子的关系

髋关节骨缺损患者髋关节功能评分和视觉模拟评分与炎性因子的关系

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目的 探讨髋关节骨缺损患者髋关节功能评分和视觉模拟评分与炎性因子相关性分析。方法 选取2020年5月至2023年5月我院收治的39例髋关节骨缺损患者作为研究对象,所有患者进行全髋关节翻修术,采用后外侧入路手术方式。采用酶联免疫吸附试验(ELISA)测定患者术前术后炎性因子肿瘤坏死因子-α(TNF-α)、白细胞介素(IL)-1β和IL-6水平;采用Harris髋关节功能评分表和视觉模拟评分法分析术前术后髋关节功能和主观疼痛情况。采用皮尔森相关系数分析TNF-α、IL-1β和IL-6表达水平与Harris髋关节功能评分和视觉模拟评分的相关性。计量数据比较采用t检验。结果 治疗前炎性因子TNF-α、IL-1β和IL-6水平[(83。28±12。40)、(63。77± 11。82)、(101。23±17。35)ng/ml]明显高于治疗后患者血清炎性因子水平[(33。59±9。20)、(23。43±5。51)、(30。89±8。26)ng/ml],差异有统计学意义(t=20。100、19。310、22。850,P<0。05)。治疗前患者Harris髋关节功能评分[(71。64±7。73)分]明显低于治疗后患者髋关节评分[(91。64± 4。38)分],差异有统计学意义(t=14。060,P<0。05)。治疗前患者Harris髋关节功能评分[(5。97± 1。14)分]明显低于治疗后患者髋关节评分[(2。97±1。09)分],差异有统计学意义(t=11。920,P<0。05)。Harris髋关节功能评分与血清TNF-α、IL-1β和IL-6水平呈负相关(r=-0。547、-0。716、-0。563,P<0。05)。视觉模拟评分与血清TNF-α、IL-1 β和IL-6水平呈正相关(r=0。287、0。346、0。415,P<0。05)。结论 髋关节置换术后髋关节骨缺损患者炎性因子水平显著下降,患者髋关节功能和视觉模拟评分显著改善,患者术后炎性因子水平与术后髋关节功能呈负相关,与视觉模拟评分呈反比。
Analysis of the correlation between hip function score and visual analogue scale score and inflam-matory factors in patients with hip bone defects
Objective To explore the correlation between hip function score and visual analogue scale score and inflammatory factors in patients with hip bone defects.Methods From May 2020 to May 2023,39 patients with hip bone defects were selected as the research objects.All patients underwent total hip revision surgery via the posterolateral approach.The levels of tumor necrosis factor-α(TNF-α),inter-leukin(IL)-1 β and IL-6 were measured by enzyme linked immunosorbent assay(ELISA)before and after operation.The hip function and subjective pain were analyzed by Harris hip function score and visual ana-logue scale.The correlation between the expression levels of TNF-α,IL-1β and IL-6 and Harris hip func-tion score and visual analogue scale score was analyzed by Pearson correlation coefficient.The t test was used for comparison of measurement data.Results The levels of TNF-α,IL-1 β and IL-6 before treatment[(83.28±12.40),(63.77±11.82),(101.23±17.35)ng/ml]were significantly higher than those after treatment[(33.59±9.20),(23.43±5.51),(30.89±8.26)ng/ml,t=20.100,19.310,22.850,P<0.05].The Harris hip function score before treatment[(71.64±7.73)points]was significantly lower than that after treatment[(91.64±4.38)points,t=14.060,P<0.05].The Harris hip function score before treatment[(5.97±1.14)points]was significantly lower than that after treatment[(2.97±1.09)points,t=11.920,P<0.05].The Harris hip function score was negatively correlated with the levels of serum TNF-α,IL-1β and IL-6(r=-0.547,-0.716,-0.563,P<0.05).The visual analogue scale score was positively correlated with the levels of serum TNF-α,IL-1β and IL-6(r=0.287,0.346,0.415,P<0.05).Conclusion The levels of inflammatory factors in patients with hip bone defect after hip arthroplasty were significantly decreased,and the hip function and visual analogue scale score were sig-nificantly improved.The postoperative inflammatory factor levels were negatively correlated with the postop-erative hip function,and inversely proportional to the visual analogue scale score.

Hip bone defectHip arthroplastyVisual analogue scale scoreInflammatory factors

谷传卫、侯耀鹏、刘默然、刘彬、焦振清

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聊城市第二人民医院骨外科,临清 252600

河北医科大学第三医院骨科,石家庄 050051

髋关节骨缺损 髋关节置换术 视觉模拟评分 炎性因子

河北省医学科学研究项目

20210320

2024

中华实验外科杂志
中华医学会

中华实验外科杂志

CSTPCD
影响因子:0.759
ISSN:1001-9030
年,卷(期):2024.41(3)
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