股骨头坏死患者在治疗过程中采用人工髋关节置换术的效果分析  

Analysis on the Effectiveness of Artificial hip Replacement Surgery in the Treatment of Patients with Femoral Head Necrosis

作　　者：施杰 蔡俊雄 钱升 SHI Jie;CAI Junxiong;QIAN Sheng(Department of Orthopedics,Yong'an Municipal Hospital,Sanming 366000,Fujian,China)

机构地区：[1]永安市立医院骨科,福建三明366000

出　　处：《中外医疗》2024年第23期39-42,共4页China & Foreign Medical Treatment

摘　　要：目的探究股骨头坏死患者在治疗过程中采用人工髋关节置换术的效果。方法随机选取2022年1月—2023年10月永安市立医院收治的70例股骨头坏死患者为研究对象,根据不同手术方法分为研究组和对照组,每组35例。对照组行传统手术治疗,研究组行人工髋关节置换术治疗。比较两组患者术后不同时间段静息、被动屈髋15°时疼痛评分,髋关节功能恢复情况,术前、术后6个月髋臼前倾角以及外展角的值。结果手术后不同时间段,研究组的疼痛评分较对照组更低,差异有统计学意义(P均<0.05)。术后各时间段,研究组髋关节活动度优于对照组,差异有统计学意义(P均<0.05)。术后1个月、3个月及6个月,研究组髋关节Harris评分分别为(71.87±2.43)分、(87.43±2.81)分、(95.22±3.55)分,高于对照组的(67.43±2.03)分、(78.77±2.63)分、(86.44±3.43)分,差异有统计学意义(t=8.296、13.312、10.523,P均<0.05)。术后6个月,两组髋臼前倾角、外展角与术前比较,差异有统计学意义(P均<0.05),但两组比较,差异无统计学意义(P均>0.05)。结论股骨头坏死患者以人工髋关节置换术治疗,可减轻患者术后疼痛感,改善髋关节功能恢复。Objective To explore the effect of artificial hip replacement in the treatment of patients with femoral head necrosis.Methods A total of 70 patients with femoral head necrosis admitted to Yong'an Municipal Hospital from January 2022 to October 2023 were randomly selected as the research objects.They were divided into study group and control group by different surgical methods,with 35 cases in each group.The control group was treated with traditional surgery,and the study group was treated with artificial hip replacement surgery.The pain scores of resting and passive hip flexion 15 at different time periods after operation,the recovery of hip function,the values of acetabular antever-sion angle and abduction angle before operation and 6 months after operation were compared between the two groups.Results At different time periods after surgery,the pain score of the study group was lower than that of the control group,and the differences were statistically significant(all P<0.05).Postoperative time period,the hip joint mobility in the study group were better than those in the control group,and the differences were statistically significant(all P<0.05).At 1 month,3 months and 6 months after operation,the Harris scores of hip joint in the study group were(71.87±2.43)points,(87.43±2.81)points and(95.22±3.55)points,respectively,which were higher than(67.43±2.03)points,(78.77±2.63)points and(86.44±3.43)points in the control group,the differences were statistically significant(t=8.296,13.312,10.523,all P<0.05).6 months after operation,the acetabular anteversion angle and abduction angle of the two groups were significantly different from those before operation(all P<0.05),however,there was no signifi-cant difference between the two groups(all P>0.05).Conclusion Artificial hip replacement for patients with femoral head necrosis can reduce postoperative pain,improve hip function recovery.

关 键 词：股骨头坏死 治疗过程 人工髋关节置换手术 疼痛感 髋关节Harris评分 

分 类 号：R4[医药卫生—临床医学]