摘要
目的探讨分析直接前方入路与后外侧入路对全髋关节置换术患者术后早期步态的影响。方法选择2021年1月至2023年12月期间在南通市第二人民医院骨科接受全髋关节置换术治疗的85例罹患股骨颈骨折患者,遵照随机数表法进行均衡分组,分为对照组(n=42)与试验组(n=43)。对照组采取直接后外侧入路开展手术,试验组采取直接前方入路开展手术。对比两组手术效果。结果术后3个月,试验组步速统计值、步频统计值、步长统计值及单支撑百分比统计值均高于对照组,P<0.05;试验组Harris髋关节功能评分、Berg量表评分、Tinetti量表评分均高于对照组,VAS评分数值低于对照组,P<0.05;试验组血清骨钙素、25-羟基维生素D含量均高于对照组,Ⅰ型前胶原氨基端原肽含量低于对照组,P<0.05。试验组术中出血量总计少于对照组,切口长度测量值小于对照组,住院时长及术后下床活动时长均短于对照组,P<0.05。试验组术后并发症发生率率较对照组更低,P<0.05。结论相较于直接后外侧入路,采用直接前方入路开展全髋关节置换术可减轻手术创伤,改善患者术后步态、髋关节功能与平衡功能,缓解术后疼痛,并可减少术后并发症,改善骨代谢情况,加速患者康复。
Objective:To explore and analyze the effects of direct anterior approach and posterolateral approach on early gait of patients after total hip replacement.Methods:85 patients with femoral neck fracture treated with total hip replacement in the Department of Orthopedics of Nantong Second People's Hospital from January 2021 to December 2,2023 were selected and divided into control group(n=42)and test group(n=43).The control group took a direct posterolateral approach,and the test group took a direct anterior approach.Surgical ast between the two groups.Results:At 3 months after surgery,the step speed statistics,step frequency statistics,step length statistics and single support percentage statistics were higher than the control group,P<0.05.In the test group,the Harris hip function score,Berg scale score and Tinetti scale score were higher than that of the control group,and the VAS score value was lower than that of the control group,P<0.05;Serum osteocalcin and 25-hydroxyvitamin D were higher than the control group,and the content of procollagen type I was lower than the control group,P<0.05.The intraoperative blood loss in the test group was less than that of the control group,the incision length measurement was less than that of the control group,and the hospitalization length and postoperative ambulation were shorter than that of the control group,P<0.05.The postoperative complication rate was lower in the test group than in the control group,P<0.05.Conclusion:with the direct posterolateral approach,the direct anterior approach can reduce the surgical trauma,improve the gait,hip function and balance function,relieve postoperative pain,reduce postoperative complications,improve bone metabolism and accelerate the recovery of patients.
作者
季磊
Ji Lei(Orthopedics Department of Nantong Second People's Hospital,Nantong Jiangsu 226000,China)
出处
《生命科学仪器》
2024年第4期154-157,共4页
Life Science Instruments
