| 魏更生 张丛笑 吴京亮黄承 李斌.骨水泥型与生物型髋关节置换术治疗股骨颈骨折对术后关节疼痛的影响[J].,2016,16(23):4529-4532 |
| 骨水泥型与生物型髋关节置换术治疗股骨颈骨折对术后关节疼痛的影响 |
| Effect of Bone Cement Type and Biological Type Hip Replacement onPostoperative Joint Pain of Transcervical Fracture |
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| DOI： |
| 中文关键词: 骨水泥型髋关节置换术 生物型髋关节置换术 股骨颈骨折 关节疼痛 |
| 英文关键词: Bone cement hip replacement Biological type hip replacement Transcervical fracture Joint pain |
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| 中文摘要: |
| 目的：探讨骨水泥型与生物型髋关节置换术治疗股骨颈骨折对术后患者关节疼痛的影响。方法：回顾性分析2012 年2 月
-2013 年8 月我院收治的股骨颈骨折患者的临床病历资料，按照假体类型将其分为骨水泥型髋关节置换术（A 组）和生物型髋关
节置换术（B 组），通过Harris 与分项百分制髋关节疼痛评分比较两组患者术后髋关节的疼痛情况。结果：两组患者的手术时间、术
中出血量以及术后引流量比较，差异无统计学意义（P>0.05），A 组的住院时间短于B 组，差异有统计学意义（P<0.05）。A 组术后
3、6 个月的髋关节疼痛率均低于B 组，术后12、24 个月则高于B组，差异有统计学意义（P<0.05）；经x2 趋势分析，A 组患者术后
髋关节疼痛率随时间增加呈逐渐上升趋势，差异有统计学意义（x2=10.837，P=0.001），B 组患者术后髋关节疼痛率随时间增加呈逐
渐下降趋势，差异有统计学意义（x2=9.842，P=0.002）。A 组患者术后3、6 个月的髋关节疼痛评分高于B 组，术后12、24 个月则低
于B 组，差异有统计学意义（P<0.05）；A 组术后3、6 个月的髋关节疼痛评分高于术后12、24 个月，B组3、6 个月的髋关节疼痛评
分低于术后12、24 个月，差异有统计学意义（P<0.05）。结论：骨水泥型假体缓解髋关节疼痛近期效果优于生物型假体，而生物型假
体远期效果优于骨水泥型假体。 |
| 英文摘要: |
| Objective:To explore the effect of bone cement type and biological type hip replacement on postoperative joint pain of
transcervical fracture.Methods:The clinical data of patients with transcervical fracture, who were admitted to Beijing Haidian Hospital
from February 2012 to August 2013, were retrospectively analyzed. The patients were divided into bone cement type hip replacement
(group A) and biological type hip replacement (group B) by the prosthesis type. The postoperative pain of hip joint of patients in the two
groups was compared by the Harris and the partial percentage of hip pain score.Results:There were no statistical significance in the operation
time, bleeding volume and postoperative drainage volum between the two groups (P>0.05). The hospitalization time of group A
was shorter than that of group B, the difference was statistically significant(P<0.05). The incidence of hip pain of group A was lower than
that of group B 3 and 6 months after operation, but higher than that of group B 12 and 24 months after operation, the differences were statistically
significant(P<0.05). By the x2 trend analysis, the incidence of hip pain of group A showed a gradual upward trend along with the
increase of time after operation, the difference was statistically significant (x2=10.837, P=0.001), while the incidence of hip pain of group
B showed a gradual downward trend along with the increase of time after operation, the difference was statistically significant(x2=9.842,
P=0.002). The hip pain scores of group A were higher than those of group B 3 and 6 months after operation,but lower than those of group
B 12 and 24 months after operation, the differences were statistically significant(P<0.05). The hip pain scores of group A 3 and 6 months
after operation were higher than 12 and 24 months after operation, and the hip pain scores of group B 3 and 6 months after operation
were lower than 12 and 24 months after operation, the differences were statistically significant (P<0.05).Conclusion:The short-term effect
of bone cement prosthesis in relieving the pain of hip joint is better than biological prosthesis, but the long-term effect of biological
prosthesis is better than bone cement prosthesis. |
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