人工髋关节置换术治疗股骨头坏死的方法及临床预后分析  

Analysis of the Method and Clinical Prognosis of Artificial Hip Joint Replacement for Femoral Head Necrosis

作　　者：谭昱[1] 陈立刚[1] 马春涛[1] 郭良 TAN Yu;CHEN Li-gang;MA Chun-tao;GUO Liang(Department of Orthopaedics and Joints(Second Department of Orthopedics),Sanya City Hospital of Traditional Chinese Medicine,Sanya,Hainan Province,572000 China)

机构地区：[1]三亚市中医院骨关节科(骨二科),海南三亚572000

出　　处：《系统医学》2020年第15期7-9,共3页Systems Medicine

摘　　要：目的探讨人工髋关节置换术治疗股骨头坏死的方法及临床预后。方法将该院2017年11月—2018年11月的120例股骨头坏死患者,随机分组,高压氧和牵引治疗组对于股骨头坏死患者给予高压氧和牵引治疗,人工髋关节置换术组对于股骨头坏死患者开展人工髋关节置换术干预。比较两组股骨头坏死治疗效果;关节疼痛消失的时间、关节功能改善的时间、关节活动度恢复的时间;治疗前后Harris评分值、视觉模拟评分值、生活质量评分。结果人工髋关节置换术组的股骨头坏死治疗效果是100.00%(60/60),高压氧和牵引治疗组则是75.00%(45/60)(χ^2=6.934,P<0.05)。治疗后人工髋关节置换术组Harris评分值、视觉模拟评分值、生活质量评分(97.12±2.45)分、(2.21±0.21)分、(92.64±6.21)分优于高压氧和牵引治疗组(85.21±2.21)分、(4.27±0.12)分、(78.65±6.11)分(P<0.05)。人工髋关节置换术组关节疼痛消失的时间、关节功能改善的时间、关节活动度恢复的时间(10.27±0.24)d、(13.21±4.21)d、(64.27±5.34)d优于高压氧和牵引治疗组(14.27±0.67)d、(18.65±6.44)d、(74.27±10.12)d(t=10.714、8.921、7.946,P<0.05)。结论股骨头坏死患者实施人工髋关节置换术干预效果确切,可促使患者早期康复,促使其活动恢复正常,缓解疼痛,改善关节功能和生活质量。Objective To explore the method and clinical prognosis of artificial hip replacement for the treatment of femoral head necrosis.Methods 120 patients with femoral head necrosis from November 2017 to November 2018 in the hospital were randomly divided into two groups.The hyperbaric oxygen and traction treatment group was given hyperbaric oxygen and traction treatment to the femoral head necrosis patients,and the artificial hip replacement group with bone necrosis carried out artificial hip replacement surgery intervention.The treatment effects of femoral head necrosis were compared between the two groups;the time when the joint pain disappeared,the time when the joint function improved,and the time when the joint activity recovered;the Harris score,visual simulation score,and quality of life score before and after treatment.Results The treatment effect of femoral head necrosis in the artificial hip replacement group was 100.00%(60/60),and that in the hyperbaric oxygen and traction group was 75.00%(45/60)(χ^2=6.934,P<0.05).The Harris score,visual simulation score,and quality of life scores of(97.12±2.45)points,(2.21±0.21)points,(92.64±6.21)points in the artificial hip replacement group after treatment were better than those in the hyperbaric oxygen and traction treatment group(85.21±2.21)points,(4.27±0.12)points,(78.65±6.11)points(P<0.05).The time of joint pain disappearance,joint function improvement,and joint activity recovery time in the artificial hip replacement group were(10.27±0.24)d,(13.21±4.21)d,(64.27±5.34)d,which was superior to the hyperbaric oxygen and traction treatment group(14.27±0.67)d,(18.65±6.44)d,(74.27±10.12)d(t=10.714,8.921,7.946,P<0.05).Conclusion The intervention effect of artificial hip replacement in patients with femoral head necrosis is definite.It can promote early rehabilitation of patients,promote their normal activities,relieve pain,and improve joint function and quality of life.

关 键 词：人工髋关节置换术 股骨头坏死 方法 临床预后 

分 类 号：R816.8[医药卫生—放射医学]