牛津髋关节量表(OHS)评价同期双侧全髋置换术的临床研究  

Clinical study on one-stage simultaneous bilateral total hip replacement evaluated with the Oxford Hip Score

作　　者：冷燕奎[1] 吴华[2] 朱峰[2] 陈有芬[1] 郑艳峰[1] 叶春平[1] 黄维运 徐志文[1] 朱家骏[1] 

机构地区：[1]浙江省金华市人民医院,金华321000 [2]华中科技大学同济医学院附属同济医院

出　　处：《中国中医骨伤科杂志》2006年第3期9-11,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:应用牛津髋关节量表(the Oxford Hip Score,OHS)评价同期双侧全髋置换术的临床疗效。方法:通过对我院及武汉同济医院2000.4-2004.9月间开展的的22例同期双侧全髋置换术的患者进行6月-5年的随访,采取信件,电话及门诊复查的方式,用牛津髋关节量表进行评分,对患者术前、术后关节疼痛、活动度及整体情况进行对比研究。结果:22例患者的术前OHS平均得分为53.62±0.85,属于"很差"等级。术后OHS平均得分为19.5±0.71分,达到"优"等级,术前、术后OHS评分有非常显著性差异(P<0.01)。结论:同期双侧全髋置换术的临床疗效是肯定的,在解除疼痛、缩短住院时间、改善整体生活质量等方面有非常显著的效果。牛津髋关节量表相对于其他各种髋关节评价性衡量工具,短小、灵活、方便,具有临床实用价值。Objective：To evaluate the clinical effects of the one--stage simultaneous bilateral total hip replacement with the Oxford Hip Score. Methods： 22 patients operated with one--stage simultaneous bilateral total hip replacement in our hospital and Tongji Hospital between 2000.4--2004.9 were followed up for six months--five years. We evaluated the results with the Oxford Hip Score through letter.telephone and outpatient reexamination. Results： 22 patients＇average score of preoperative OHS is 53.62± 0.85, belong to ＂very bad＂; postoperative average score is 19.5±0.71 分, belong to ＂excellent＂. There was a significant difference between preopration and postopration （p〈0.01）. Conclusions：One--stage simultaneous bilateral total hip replacement is effective. The OHS is a very useful instrument for assessment of clinical effect the THR.

关 键 词：牛津髋关节量表 全髋关节置换术 生活质量 

分 类 号：R687.4[医药卫生—骨科学] R179[医药卫生—外科学]