抗骨质疏松对髋关节术后早期疼痛的疗效

Anti osteoporosis curative effect analysis of early pain after total hip arthroplasty

目的探讨抗骨质疏松治疗对骨质疏松患者髋关节置换术后早期疼痛的治疗效果。方法选取行髋关节置换术伴有骨质疏松的80例患者为研究对象,将8O例患者分为治疗组、对照组各4O例,治疗组从术后第3天起用鲑鱼降钙素肌肉注射联合维D钙咀嚼片口服;对照组未进行抗骨质疏松治疗。用视觉模拟评分(VAS)和Harris髋关节功能评分比较两组术后情况。结果治疗组患者的术后评分均低于对照组,差异具有统计学意义(P<0.05)。结论抗骨质疏松治疗对髋关节置换术后早期疼痛的治疗效果满意,能有效缓解术后疼痛,且能减少骨质疏松引起的假体松动等后遗症的发生。

Objective To study the anti osteoporosis treatment after hip replacement in patients with osteoporosis in the early treat- ment effect of pain, Methods A total of 80 patients with osteoporosis were selected between September 2011 and December 2012 in our de- partment during hip replacement as the research object, and they were divided into treatment group and the control group. The treatment group was received salmon calcitonin intramuscular combined with vitamin D oral calcium chewable tablets from the third day postoperatively;the control group did not get anti osteoporosis therapy. The postoperative Harris hip function score of two groups was observed and compared with visual analogue scale （VAS）. Results The postoperative scores of treatment group were lower than those of the control group, amd the differ- ence was statistically significant （P 〈 0.05）. Conclusion Anti osteoporosis therapy with the treatment of early pain after total hip arthro- plasty can effectively alleviate postoperative pain, and reduce prosthesis loosening caused by osteoporosis and other complications occurred.