[1]李鹏善,张录强△,肖 华,等.不同入路髋关节置换术对老年患者其关节功能恢复及生活质量的影响临床研究*[J].陕西医学杂志,2020,49(4):435-438.
　LI Pengshan,ZHANG Luqiang,XIAO Hua,et al.Effect of different approaches of hip replacement on joint function recovery and quality of life in elderly patients[J].,2020,49(4):435-438.
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不同入路髋关节置换术对老年患者其关节功能恢复及生活质量的影响临床研究*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年4期
页码:
435-438
栏目:
临床研究
出版日期:
2020-04-05

文章信息/Info

Title:
Effect of different approaches of hip replacement on joint function recovery and quality of life in elderly patients
文章编号:
DOI:10.3969/j.issn.10007377.2020.04.012
作者:
李鹏善; 张录强△; 肖 华; 张 静
陕西省宝鸡高新人民医院(宝鸡 721006)
Author(s):
LI Pengshan; ZHANG Luqiang; XIAO Hua; et al.
Baoji High-tech People's Hospital,Shaanxi Province(Baoji 721006)
关键词:
髋关节置换术;  前外侧入路;  后外侧入路;  关节功能;  生活质量;  老年人
Keywords:
Hip replacement;  Anterolateral approach;  Posterolateral approach;  Joint function;  Quality of life;  Seniors
分类号:
R658.3
文献标志码:
A
摘要:
目的:探究不同入路髋关节置换术老年患者其关节功能恢复及生活质量的影响。方法:选择行髋关节置换术的86例老年患者为研究对象,根据其选择的手术入路将其分为前外侧入路组(47例)与后外侧入路组(39例),对比两组患者手术切口长度、手术时间、术中出血量、术后引流量,对比两组患者术后6周、3个月及6个月髋关节Harris评分,最后对两组患者术前及术后髋关节主动活动范围及生活质量评分(SF-36)进行对比。结果:①前外侧入路组患者手术切口长度、手术时间、术中出血量、术后引流量均低于后外侧入路组(P<0.05); ②前外侧入路组患者术后6周、3个月及6个月髋关节Harris评分明显高于后外侧入路组(P<0.05); ③术前两组患者髋关节主动活动范围对比差异不具有统计学意义(P>0.05),术后前外侧入路组患者髋关节伸展、外展、内外旋角度均大于后外侧入路组(P<0.05); ④术前两组患者SF-36各维度得分对比差异不具有统计学意义(P>0.05),术后前外侧入路组患者得分明显高于后外侧入路组(P<0.05)。结论:前外侧入路组能够显著减小老年髋关节置换术患者创伤、术中出血量,同时能够加快患者术后髋关节功能恢复,改善其关节功能,同时提高其生活质量。
Abstract:
Objective:To explore the effect of different approaches of hip replacement on joint function recovery and quality of life in elderly patients. Methods:86 elderly patients underwent hip replacement were selected as the study subjects. According to the surgical approachs,they were divided into anterolateral approach group(47 cases)and posterolateral approach group(39 cases). The incision length,operation time,intraoperative bleeding volume and postoperative drainage volume were compared between the two groups. The Harris hip score was compared between the two groups 6 weeks,3 months and 6 months after operation. Finally,the active range of motion of hip joint and the quality of life score(SF-36)were compared between the two groups before and after operation. Results:The incision length,operation time,intraoperative bleeding volume and postoperative drainage volume of the anterolateral approach group were lower than those of the posterolateral approach group(P<0.05). The Harris hip score of the anterolateral approach group was significantly higher than that of the posterolateral approach group 6 weeks,3 months and 6 months after operation(P<0.05). There was no significant difference in active range of motion of hip joint between the two groups before opration(P>0.05),but the extension,abduction and rotation angle of hip joint in the anterolateral approach group were greater than those in the posterolateral approach group(P<0.05). There was no significant difference in SF-36 scores between the two groups before operation(P>0.05),but the scores of the anterolateral approach group were significantly higher than those of the posterolateral approach group(P<0.05). Conclusion:The anterolateral approach can significantly reduce the trauma and intraoperative bleeding volume in elderly patients,accelerate the recovery of hip function,improve the joint function and the quality of life.

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备注/Memo

备注/Memo:
*陕西省自然科学基金资助项目(2016JQ8040)
更新日期/Last Update: 2020-04-13