股骨颈骨折行全髋关节置换术后认知功能障碍对疗效的影响  

Effect of postoperative cognitive dysfunction on clinical efficacy after total hip replacement for femoral neck fracture

作　　者：赵建忠[1] 张广程[1] 狄东华[1] 王波[1] 

机构地区：[1]江苏大学附属医院骨科,212000

出　　处：《江苏医药》2014年第20期2401-2403,共3页Jiangsu Medical Journal

基　　金：镇江市社会发展基金项目(FZ2012033)

摘　　要：目的探讨股骨颈骨折行全髋关节置换(THR)术后认知功能障碍(POCD)对疗效的影响。方法股骨颈骨折行THR患者40例分为POCD组(8例)和非POCD组(32例),比较两组患者手术相关指标和术后1年患髋Harris评分。结果 POCD组切口换药次数、切口愈合时间、术后治疗费用、术后下地时间、住院时间均高于非POCD组(P<0.05);两组术后1年患髋Harris评分差异无统计学意义(P>0.05)。结论非POCD组患者术后近期恢复比POCD组患者好;但POCD不影响THR患者远期髋关节功能。Objective To analyze the effect of postoperative cognitive dysfunction（POCD） on clinical efficacy after total hip replacement（THR） for femoral neck fracture. Methods Forty patients underwent THR for femoral neck fracture were divided into two groups of A（with POCD, 32 cases） and B（without POCD, 8 cases）. The surgery-related indicators and Harris score after a year were compared. Results The incidence rate of complications, dressing time, healing time, the time of getting off bed,hospital stay and medical cost were more in group A than those in group B（P〈0. 05）. There was no significant difference in Harris score after a year between two groups（P〉0.05）. Conclusion The short-term recovery is better in the patients underwent THR for femoral neck fracture without POCD than that in those with POCD. But POCD does not affect the long-term hip function.

关 键 词：全髋关节置换术 术后认知功能障碍 

分 类 号：R687[医药卫生—骨科学]