全髋关节置换术患者术后生存质量调查研究.docVIP

全髋关节置换术患者术后生存质量调查研究 　　[摘要] 目的 分析髋关节置换术后患者的生活质量状况，为严重髋关节疾患的治疗提供科学依据。 方法 回顾性分析2008年1月~2010年1月我院63例确诊为髋关节骨性关节炎行全髋关节置换术患者（观察组）与35例同期确诊为髋关节骨性关节炎未行手术患者（对照组）的临床资料，采用SF-36量表和Harris评分量表比较两组患者的生存质量及预后影响因素。 结果 观察组总体健康得分接近于正常人群（P ＞ 0.05），除社会功能外的生存质量各项指标、髋关节Harris评分均显著高于对照组（P ＜ 0.01）。 结论 髋关节置换术可明显改善髋关节骨性关节炎、关节功能严重障碍者的生存质量，减少髋关节功能障碍引起的并发症。 　　[关键词] 关节成形术；髓关节置换术；生存质量 　　[中图分类号] R687.4[文献标识码] C[文章编号] 1673-7210（2012）03（c）-0116-03 　　Study on the quality of life among patients after total hip replacement surgery 　　LUO Wei CHEN Shunxin YOU Qin 　　Department of Orthopaedics, the Second Peoples Hospital of Shanwei City, Guangdong Province, Shanwei 516600, China 　　[Abstract] Objective To analyze the quality of life among patients after hip replacement, in order to provide scientific evidences for serious hip diseases treatment. Methods The clinical data of 63 cases of hip osteoarthritis patients with total hip replacement surgery and 30 cases of patients without surgical operation from January 2008 to January 2010 were analyzed retrospectively. SF-36 measure scale and the Harris hip score scale were used to compare the quality of life and prognostic influencing factor between the two groups. Results The observation group had a high score even close to the normal persons with general health (P ＞ 0.05), besides social function index, the other quality of life index and the Harris grade of the observation group were obviously higher than those of the control group (P ＜ 0.01). Conclusion Total hip replacement can obviously improved the quality of life index of patients with joint hip osteoarthritis and severe function disabilities, reduce the incidence of complications induced by hip dysfunction. 　　[Key words] Arthroplasty; Total hip replacement; Quality of life 　　随着医疗科学技术的进步，髋关节置换术越来越多地应用于严重髋关节疾患的治疗，在???20年的临床实践中取得了理想疗效，但长期以来，对于患者髋关节置换术后的疗效评价，多数医生所采用的是Harris评分等疾病特异性指标，主要研究的是患者术后生理功能康复和躯体疼痛缓解，而未能就普通人群的社会功能、生理职能、一般健康状况等生存质量指标形成全面评价。基于生物-心理-社会医学模式的转变，“生存质量”概念（quality of life，QOL）在医学领域中逐渐