Effect of Hip Reconstructive Surgery on Health-Related Quality of Life of Non-Ambulatory Children with Cerebral Palsy
Effect of Hip Reconstructive Surgery on Health-Related Quality of Life of Non-Ambulatory Children with Cerebral Palsy
复制标题
髋关节重建手术对脑瘫不能行走儿童健康相关生活质量的影响
DOI：
10.2106/jbjs.15.01063
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发表时间：
2016-07-20
影响因子：
5.3
通讯作者：
Snyder, Brian D.
中科院分区：
文献类型：
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作者：
DiFazio, Rachel;Shore, Benjamin;Snyder, Brian D.
背景：本研究的主要目的是评估粗大运动功能分类系统(GMFCS)IV级或V级脑瘫和痉挛型髋关节发育不良儿童髋关节移位率(一种量化髋关节移位的放射学指标)与髋臼指数和健康相关生活质量(HRQOL)的关系。方法：在前瞻性队列研究中，采用Pearson相关分析，在髋关节重建手术前即刻、术后6周、6周、12周、3周、6周、12周、3周、12周、3周、6周、12周、3周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、6周、12周、6周、12周、6周、12周、6周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、6周、12周、手术后24个月。亚组分析用于比较术前迁移百分比为50%的患者和术前迁移百分比为
Background: The primary aim of this study was to evaluate the relationship of the migration percentage (a radiographic metric quantifying hip displacement) in children with Gross Motor Function Classification System (GMFCS) level-IV or V cerebral palsy and spastic hip dysplasia to the acetabular index and the health-related quality of life (HRQOL) as measured with the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) before and after reconstructive hip surgery.Methods: In a prospective cohort study (n = 38), the migration percentage, acetabular index, and CPCHILD scores were analyzed using the Pearson correlation analysis immediately before reconstructive hip surgery and at 6 weeks and 3, 6, 12, and 24 months after the surgery. Subgroup analysis was used to compare patients who had a preoperative migration percentage of >= 50% with those who had a preoperative migration percentage of