| 张 浩,李文早,张富军,王怀东,裴海波,张宏伟.金属大头全髋关节置换术对股骨颈骨折患者血清CRP，IL-6，TNF-α水平及髋关节功能的影响[J].,2017,17(19):3711-3714 |
| 金属大头全髋关节置换术对股骨颈骨折患者血清CRP，IL-6，TNF-α水平及髋关节功能的影响 |
| Effects of Metal Bulk Total Hip Replacement on Joint Functions of Patients with Femoral Neck Fractures and Its Clinical Efficacy |
| 投稿时间：2016-12-28 修订日期：2017-01-22 |
| DOI：10.13241/j.cnki.pmb.2017.19.028 |
| 中文关键词: 股骨颈骨折 金属大头全髋关节置换术 关节功能 |
| 英文关键词: Femoral neck fracture Bulk metal total hip replacement Functional recovery |
| 基金项目:陕西省自然科学基金项目(2002C2-23) |
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| 中文摘要: |
| 摘要 目的：分析金属大头全髋关节置换术用于股骨颈骨折的临床评价及对功能恢复的影响。方法：选择我院2013年2月~2016年2月收治的104例股骨颈骨折患者，分为对照组与观察组，各52例。对照组予以半髋关节置换术治疗，观察组予以金属大头全髋关节置换术治疗，比较两组手术时间、术中出血量，治疗前后血清C反应蛋白（CRP）、白细胞介素-6（IL-6）、肿瘤坏死因子-α（TNF-α），髋关节Harris评分及术后并发症。结果：观察组手术时间、术中出血多于对照组，差异有统计学意义（P<0.05），观察组疼痛率低于对照组（P<0.05）；两组住院时间比较无差异（P>0.05）；治疗后两组患者血清CRP、IL-6、TNF-α比较，差异无统计学意义（P>0.05）。治疗后，观察组髋关节活动度、Harris评分、髋关节功能优于对照组（P<0.05）。两组术后并发症无差异（P>0.05）。结论：金属大头全髋关节置换术用于股骨颈骨折的临床效果确切，可利于功能恢复。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the clinical efficacy of metal bulk total hip replacement on treatment of femoral neck fractures and its impact on joint functions. Methods: 104 cases with femoral neck fracture who were treated in our hospital from February 2013 to February 2016 were selected and randomly divided into the control group and the observation group with 52 cases in each group. The pa- tients in the control group were treated with hemiarthroplasty, while the patients in the observation group were treated with metal head to- tal hip replacement. Then the serum levels of c-reactive protein (CRP), interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α), the Harris scores and the postoperative complications were observed and compared. Results: The hospitalization, intraoperative blood loss of observation group was more than the control group, the difference was statistically significant (P<0.05), the Pain rate of observation group were less than the control group (P<0.05), hospitalization time between two group was no difference (P>0.05). After surgery, the CRP, IL-6, TNF-αwas no difference between two groups (P>0.05). After surgery, the hip mobility, Harris score, hip function of observa- tion group was better than that of control group (P<0.05). The postoperative complications was no difference between two group (P>0.05). Conclusion: The clinical effect is precise of bulk metal total hip replacement for femoral neck fracture, to restore function. |
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