摘要
目的探究不同入路全髋关节置换术对股骨颈骨折患者术后疼痛和髋关节功能的影响。方法选取2022年2月—2023年2月于我院行全髋关节置换术的80例股骨颈骨折患者为研究对象,采用随机数字表法分为对照组与观察组,各40例。对照组采用后外侧入路,观察组采用微创直接前入路。结果观察组术中出血量较对照组少,卧床时间和住院时间均较对照组短,组间差异有统计学意义(P<0.05),但两组手术时间比较,差异无统计学意义(P>0.05)。术后7 d,观察组疼痛视觉模拟评分为(3.61±1.19)分,低于对照组的(4.32±1.20)分,差异有统计学意义(P<0.05)。术后6个月,观察组的Harris评分为(90.27±5.94)分,高于对照组的(86.27±6.30)分,差异有统计学意义(P<0.05)。观察组术后并发症发生率为2.50%,低于对照组的15.00%,差异有统计学意义(P<0.05)。结论股骨颈骨折行全髋关节置换术治疗,相对于后外侧入路而言,选择微创直接前入路更有利于促进患者术后康复,且在缓解其术后疼痛程度、改善髋关节功能及降低并发症发生率方面具有更为显著的价值。
Objective To explore the effects of different approaches of total hip arthroplasty on postoperative pain and hip function in patients with femoral neck fracture.Methods 80 patients with femoral neck fracture who underwent total hip replacement in our hospital from February 2022 to February 2023 were selected as the study objects and divided into a control group and an observation group according to the random number table method,with 40 cases in each group.The control group was treated with posterolateral approach,and the observation group was treated with minimally invasive direct anterior approach.Results The intraoperative blood loss of the observation group was less than that of the control group,and the bed time and hospitalization time were shorter than those of the control group,the differences between the two groups were statistically significant(P<0.05),but there was no statistically significant difference in the operation time between the two groups(P>0.05).7 days after the operation,the Visual Analogue pain Scale score of the observation group was(3.61±1.19)points,which was lower than(4.32±1.20)points of the control group,and the difference was statistically significant(P<0.05).6 months after operation,the Harris score of the observation group was(90.27±5.94)points,which was higher than(86.27±6.30)points of the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 2.50%,which was lower than 15.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of femoral neck fracture with total hip arthroplasty,compared with the posterolateral approach,the minimally invasive direct anterior approach is more conducive to promote the postoperative rehabilitation of patients,and has more significant value in relieving postoperative pain,improving hip function and reducing the incidence of complications.
作者
梁颖杰
LIANG Yingjie(Department of Orthopedics,Fenyang Hospital,Shanxi Province,Fenyang Shanxi,032200,China)
出处
《反射疗法与康复医学》
2023年第23期101-104,共4页
Reflexology And Rehabilitation Medicine
关键词
股骨颈骨折
全髋关节置换术
后外侧入路
微创直接前入路
疼痛程度
髋关节功能
Femoral neck fractures
Total hip replacement
Posterolateral approach
Minimally invasive direct anterior approach
The degree of pain
Hip joint function
