摘要
目的探讨全髋关节置换术后功能以及对精神心理等方面恢复的情况,以求更加全面的理解和治疗这一类疾病,达到真正的康复。方法2000年9月～2005年4月期间连续30例行人工全髋关节置换术的患者,入院后即行Harris髋关节功能评分和SF-36评分,术后半年再次行复查评分,一例患者失访。患者都为初次行单侧关节假体置换。结果病人术后6个月的Harris评分和SF-36各项评分均较术前有统计学意义上的差异(<0.001),但SF-36各项评分的改善程度并不一致。结论髋关节功能的恢复并不意味患者的生存质量的有明显的恢复和提高。行全髋关节置换的患者人群大多为老年人。我们的研究建议综合评价髋关节置换术后的功能状态应当包括评价一般的老年性问题和精神健康状态。
Objective To evaluate the limitations of Harris hip Score （HHS） in outcome assessments of total hip arthroplasty （THA）. Method From Sep. 2000 to Apr. 2005, 30 consecutive eligible patients（30 hips） who had had total hip replacement were interviewed and measured by the Harris hip Score （HHS） and Short-form 36-item Health Survey （SF-36） before and six months after operations. The differences between the scores before and after operations were tested with ttest.one person losts in 6 month. Result Both the HHS and eight domains of SF-36 were significantly improved 6 months after operations compared with the scores before operations. However, the degree of improvement aren＇t consistent in eight domains of SF-36. Conclusion The result of this study suggest that HHS can not capture additional important quality of life domains except for physical function and pain relief that are influenced by THA. All patients are aged people, so, to evaluate this kind of disease must include the general problem and Psyche situation. So it＇s necessary to combine HHS and a quality of life survey such as SF-36 to allow a more global assessment of THA.
出处
《生物骨科材料与临床研究》
CAS
2007年第4期40-42,共3页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
P全髋关节置换
康复
生存质量
Total hip replacement
Rehabilitation
Quality of life
