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比较Harris髋关节评分和牛津髋关节评分以评估髋关节表面置换术后的疗效:患者能告诉我们所有我们需要了解的情况吗?

A comparison of Harris and Oxford hip scores for assessing outcome after resurfacing arthroplasty of the hip: can the patient tell us everything we need to know.

作者信息

Parsons Nick R, De Souza Ruth-Mary, Oni Tofunmi, Achten Juul, Krikler Stephen J, Costa Mattew L

机构信息

University of Warwick, Clinical Sciences Research Institute, Coventry, UK.

出版信息

Hip Int. 2010 Oct-Dec;20(4):453-9. doi: 10.1177/112070001002000407.

Abstract

We have compared the Harris hip score with the Oxford hip score in a population of 358 patients (213 men and 145 women) aged between 19 to 74 years (median 55 years), after resurfacing arthroplasty of the hip (between September 1995 and October 2006) with a median follow-up of 6 years. The Oxford hip score was related to the age of the patient (Mann-Whitney test; p = 0.015), the hip lifetime (p = 0.030) and body mass index (p < 0.001). Correlation analysis indicated a good correlation between overall Harris and Oxford hip scores (Spearman's rank correlation = -0.70; p < 0.001). An analysis of correlations between individual items in the Oxford score and functional domains of the Harris score showed that the range of movement domain of the latter score was correlated with two items from the former score (-0.40 and -0.38; p < 0.001 and p < 0.001). Based on the correlation analysis, this study provides good evidence that the Oxford score can be substituted for the Harris score for long-term assessment of hip function, without significant loss of information.

摘要

我们对358例年龄在19至74岁(中位数55岁)的患者(213名男性和145名女性)进行了Harris髋关节评分与牛津髋关节评分的比较。这些患者均在1995年9月至2006年10月期间接受了髋关节表面置换术,中位随访时间为6年。牛津髋关节评分与患者年龄(Mann-Whitney检验;p = 0.015)、髋关节使用年限(p = 0.030)和体重指数(p < 0.001)相关。相关性分析表明,Harris髋关节总分与牛津髋关节总分之间存在良好的相关性(Spearman等级相关性 = -0.70;p < 0.001)。对牛津评分中的各个项目与Harris评分的功能领域之间的相关性分析表明,Harris评分的活动范围领域与牛津评分中的两个项目相关(-0.40和-0.38;p < 0.001和p < 0.001)。基于相关性分析,本研究提供了充分的证据表明,牛津评分可替代Harris评分用于髋关节功能的长期评估,且不会显著丢失信息。

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