医学临床研究
  2025年4月5日 星期六           首 页    |    期刊简介    |    编委会    |    投稿指南    |    期刊订阅    |    广告合作    |    留言板    |    联系我们    |    English
医学临床研究  2020, Vol. 37 Issue (12): 1840-1843    DOI: 10.3969/j.issn.1671-7171.2020.12.024
  论著 本期目录 | 过刊浏览 | 高级检索 |
前侧微创入路全髋关节置换术对股骨颈骨折患者Hb、CRP、IL-6水平及髋关节屈伸活动度的影响
王胜涛1, 殷勇1,张波1, 蔡杰勇1, 肖波1, 石波2, 康斌2
1.成都医学院第三附属医院成都市郫都区人民医院骨科,四川 成都 611700;
2.绵阳市中心医院骨科,四川 绵阳 621000
Effect of THR through Anterior Minimally Invasive Approach on the Levels of HB, CRP, IL-6 and the Range of Hip Joint Motion Flexion and Extension in Patients with Femoral Neck Fracture
WANG Sheng-tao, YIN Yong, ZHANG Bo, et al
Department of Orthopedics, The 3rd Affiliated Hospital of Chengdu Medical College Pidu District People's Hospital, Chengdu Sichuan, 611700
全文: PDF (0 KB)   HTML (1 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 【目的】探讨前侧微创入路全髋关节置换术(THR)对股骨颈骨折患者血红蛋白(Hb)、C反应蛋白(CRP)、白细胞介素-6(IL-6)水平及髋关节屈伸活动度的影响。【方法】回顾性分析2017年1月至2019年12月在本院行前侧微创入路TRH患者(观察组,n=42)与传统后侧入路THR患者(对照组,n=42)的临床资料。比较两组患者围术期指标(手术时间、切口长度、术中出血量、术后引流量、住院时间)及术前、术后血液指标[Hb、血细胞比容(Hct)]、炎性指标(CRP、IL-6)和髋关节屈伸活动度及髋关节功能评分(Harris评分)。【结果】两组患者围术期各指标(除手术时间外)比较差异均有统计学意义(P<0.05);术后24 h,两组患者Hb、Hct水平较术前均显著下降(P<0.05),但观察组患者显著高于对照组(P<0.05);术后24 h、7 d,两组患者CRP、IL-6水平较术前均显著上升(P<0.05),但观察组患者显著低于对照组(P<0.05);术后3、6、12个月,两组患者髋关节屈伸活动度和Harris评分较术前均显著上升(P<0.05),术后3个月观察组患者上述指标均显著高于对照组(P<0.05),术后6、12个月观察组髋关节屈伸活动度显著高于对照组(P<0.05),但两组Harris评分比较差异无统计学意义(P>0.05)。【结论】前侧微创入路THR更有助于患者术后康复,缩短住院时间,并可减轻炎性反应,增加髋关节屈伸活动度,缩短髋关节功能恢复时间,值得临床推广应用。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
关键词 关节成形术置换股骨颈骨折/外科学C反应蛋白质/血液白细胞介素6/血液    
Abstract【Objective】To investigate the effect of total hip arthroplasty (THR) through anterior minimally invasive approach on the levels of hemoglobin (HB), C-reactive protein (CRP), interleukin-6 (IL-6) and the range of motion of hip joint flexion and extension in patients with femoral neck fracture. 【Methods】The clinical data of TRH patients (observation group,n=42) and traditional posterior approach thr patients (control group,n=42) were retrospectively analyzed from January 2017 to December 2019 in our hospital. The perioperative indexes (operation time, incision length, intraoperative blood loss, postoperative drainage, length of hospital stay), preoperative and postoperative blood indexes (Hb, Hct), inflammatory indexes (CRP, IL-6), hip flexion and extension range of motion and hip function score (Harris score) were compared between the two groups. 【Results】There were statistically significant differences in the perioperative indexes (except operation time) between the two groups (P<0.05); after 24 h, the levels of Hb and Hct in the two groups were significantly lower than those before operation (P<0.05), but the observation group was significantly higher than the control group (P<0.05); 24 h, 7 d after operation, the levels of Hb and Hct in the two groups were significantly lower than those before operation (P<0.05). The levels of CRP and IL-6 in the two groups were significantly higher than those before operation (P<0.05), but the observation group was significantly lower than the control group (P<0.05); after 3, 6, 12 months, the hip joint flexion and extension activity and Harris score of the two groups were significantly increased (P<0.05), the above indexes of the observation group were significantly higher than those of the control group at 3 months after operation (P<0.05), and the hip of the observation group at 6 and 12 months after operation was significantly higher than that of the control group (P<0.05) The range of motion of joint flexion and extension was significantly higher than that of the control group (P<0.05), but there was no significant difference in Harris score between the two groups (P>0.05). 【Conclusion】Anterior minimally invasive THR is more conducive to postoperative rehabilitation, shorten hospital stay, reduce inflammatory reaction, increase the range of motion of hip joint flexion and extension, shorten the recovery time of hip joint function, which is worthy of clinical application.
Key wordsArthroplasty, Replacement, Hip    Femoral Neck Fractures/SU    C-Reactive Protein/BL    Interleukin-6/BL
收稿日期: 2020-10-29     
PACS:  R683.421  
通讯作者: E-mail:mygukeyinyong@163.com   
引用本文:   
王胜涛, 殷勇,张波, 蔡杰勇, 肖波, 石波, 康斌. 前侧微创入路全髋关节置换术对股骨颈骨折患者Hb、CRP、IL-6水平及髋关节屈伸活动度的影响[J]. 医学临床研究, 2020, 37(12): 1840-1843.
WANG Sheng-tao, YIN Yong, ZHANG Bo, et al. Effect of THR through Anterior Minimally Invasive Approach on the Levels of HB, CRP, IL-6 and the Range of Hip Joint Motion Flexion and Extension in Patients with Femoral Neck Fracture. JOURNAL OF CLINICAL RESEARCH, 2020, 37(12): 1840-1843.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.12.024     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I12/1840
版权所有 © 2013 医学临床研究杂志社  湘ICP备13012052号-1
办公地址:湖南省长沙市芙蓉区新军路43号煤炭大院主办公楼6楼621、623、632、636室 邮编:410011 电话(传真):0731-84824007 E-mail:jcr_cs.hn@vip.163.com
技术支持:北京玛格泰克科技发展有限公司 技术支持:support@magtech.com.cn