腋式拐杖和框架式助行器对老年髋关节置换术后假体稳定性和预后影响比较.docVIP

腋式拐杖和框架式助行器对老年髋关节置换术后假体稳定性和预后影响比较 　　[摘要] 目的 探讨腋式拐杖和框架式助行器对老年髋关节置换术后假体稳定性和预后的影响。 方法 选择2012年7月～2015年12月文登整骨医院接受髋关节置换术的200例60岁及以上患者，按照随机数字表法分为A组（采用腋式拐杖，100例）和B组（采用框架式助行器，100例）。比较两组患者术后的跌倒率、术后独立行走时间、平均住院时间、假体松动率及脱位率、股骨假体下沉的深度、骨盆的冠状面倾斜角度、髋关节功能（Harris）评分、髋关节疼痛（VAS）评分及患者健康调查简表（SF-36）评分等。 结果 ①假体的稳定性：A组股骨假体下沉的深度、骨盆的冠状面倾斜角度、假体松动率及脱位率均显著优于B组，差异有统计学意义（P 0.05）；②预后质量：两组患者术后均未发生跌倒，A组术后独立行走时间、平均住院天数均明显少于B组，差异有统计学意义（P 0.05）；A组的Harris评分、VAS评分与SF-36评分显著优于B组，差异有统计学意义（P 0.05）。 结论 相比于框架式助行器，老年髋关节置换术后使用腋式拐杖助行更有利于提高假体稳定性，提高患者的预后质量。 　　[关键词] 辅助行走；髋关节；置换术；稳定性 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1673-7210（2017）04（c）-0093-04 　　[Abstract] Objective To investigate the effects of axillary crutches and frame walker on stability of prosthesis and prognosis for elderly patients with total hip arthroplasty. Methods From July 2012 to December 2015， in Wendeng Osteopathic Hospital， 200 patients （age≥60 years） with total hip arthroplasty admitted were selected， according to random number table， they were divided into group A （with axillary crutches， 100 cases） and group B （with frame walker， 100 cases）. The fall rate， independent walking time， average hospitalization time， prosthetic loosening rate and dislocation rate， subsidence displacement of the femoral prosthesis， coronal inclination of pelvis， Harris hip scores， VAS score and SF-36 scores after surgery of two groups were compared. Results ①In the aspect of stability of prosthesis： prosthetic loosening rate and dislocation rate， subsidence displacement of the femoral prosthesis， coronal inclination of pelvis in group A were better than those of group B， the differences were statistically significant （P 0.05）. ②In the aspect of quality of the clinical prognosis： there was no fall case in two groups， the independent walking time， average hospitalization time in group A were less than those of the group B， the differences were statistically significant （P 0.05）. The Harris hip scores， VAS score and SF-36 scores in group A were better than thos