Li Fuzhou, Zhu Lixin, Geng Yanna, Wang Guofeng
Department of Imaging, Linyi People's Hospital Linyi 276800, Shandong, China.
Department of Pharmacy, Binzhou Peoples Hospital Binzhou, Shandong, China.
Am J Transl Res. 2021 Apr 15;13(4):3851-3855. eCollection 2021.
To study the effect of hip replacement surgery on the clinical treatment efficacy, VAS score and Harris hip score of patients with necrosis of the femoral head (NFH). A total of 86 patients with NFH who were treated in our hospital from January 2016 to January 2019 were selected as the research subjects, and were divided into the control group (n = 43, conventional artificial hip replacement) and the observation group (n = 43, modified version of artificial hip replacement) according to a random number table method. The treatment efficacy, pain, hip function, motor function and adverse reactions of the two groups were compared.
The effective rate of the observation group was 93.02%, which was higher than 79.07% of the control group (P<0.05). There was no difference in VAS scores of the two groups before treatment (P>0.05); after treatment, VAS scores were reduced, and the observation group was lower than the control group (P<0.05). There was no difference in Harris hip scores between the two groups before treatment; after treatment, the Harris hip joint scores were elevated, and the observation group was higher than the control group (P<0.05). There was no difference in Fugl-Meyer motor function scores between the two groups before treatment (P>0.05); after treatment, Fugl-Meyer motor function scores increased, and the observation group was higher than the control group (P<0.05). The incidence of adverse reactions in the observation group was 6.98%, which was lower than 16.28% in the control group, and the difference was not statistically significant (P>0.05).
Modified artificial hip replacement is effective in treating NFH. It can relieve pain, improve hip joint function and motor function, and has high safety and is therefore worthy of promotion.
研究髋关节置换手术对股骨头坏死（NFH）患者临床治疗疗效、视觉模拟评分法（VAS）评分及Harris髋关节评分的影响。选取2016年1月至2019年1月在我院接受治疗的86例NFH患者作为研究对象，采用随机数字表法将其分为对照组（n = 43，传统人工髋关节置换术）和观察组（n = 43，改良版人工髋关节置换术）。比较两组的治疗效果、疼痛情况、髋关节功能、运动功能及不良反应。
观察组有效率为93.02%，高于对照组的79.07%（P<0.05）。两组治疗前VAS评分比较，差异无统计学意义（P>0.05）；治疗后，两组VAS评分均降低，且观察组低于对照组（P<0.05）。两组治疗前Harris髋关节评分比较，差异无统计学意义；治疗后，两组Harris髋关节评分均升高，且观察组高于对照组（P<0.05）。两组治疗前Fugl-Meyer运动功能评分比较，差异无统计学意义（P>；0.05）；治疗后，两组Fugl-Meyer运动功能评分均升高，且观察组高于对照组（P<0.05）。观察组不良反应发生率为6.98%，低于对照组的16.28%，差异无统计学意义（P>0.05）。
改良人工髋关节置换术治疗NFH疗效显著。可缓解疼痛，改善髋关节功能及运动功能，安全性高，值得推广。
