Investigation of Pain in Hip Disease Patients before and after Arthroplasty
Investigation of Pain in Hip Disease Patients before and after Arthroplasty
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DOI：
10.1589/jpts.23.535
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发表时间：
2011-06-01
影响因子：
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通讯作者：
Okita, Minoru
中科院分区：
文献类型：
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作者：
Morimoto, Yosuke;Kondo, Yasutaka;Okita, Minoru
[目的]探讨髋关节置换术前后疼痛的发生情况及疼痛是否由髋关节本身引起。[对象和方法] 52例髋关节疾病患者，均未表现出痴呆、下肢疾病或腰椎疾病。观察关节置换术前后局部疼痛、最大疼痛部位及最大疼痛部位视觉疼痛评分（VAS）。[结果]术前腹股沟疼痛发生率最高（28例，53.8%），术后逐渐下降。术后VAS明显小于术前VAS。6名患者（11.5%）在术前和术后出现膝关节以下疼痛。[结论]髋关节置换术在减轻髋关节疼痛方面是有效的，但也有髋关节置换术后远端疼痛持续存在的情况，其原因尚不明确。临床医生必须考虑适当的康复计划来解决这种疼痛。
[Purpose] This study examined pain in patients with hip disease before and after arthroplasty and whether the pain was induced in the hip joint itself. [Subjects and Methods] Fifty-two patients presenting with hip disease who did not exhibit dementia, disease of the lower limbs or lumbar disease were included in this investigation. Regional pain, the site of maximum pain and Visual Analogue Scale (VAS) of the site of maximum pain before and after arthroplasty were evaluated. [Results] Groin displayed the highest incidence of pre-operative pain (28 cases, 53.8%); that number decreased post-operatively. Post-operative VAS was significantly smaller than pre-operative VAS. Six patients (11.5%) demonstrated pain below the knee pre- and post-operatively. [Conclusions] The present results suggest that hip arthroplasty is effective in terms of reduction of pain in the hip joint itself However, instances in which pain persists in remote areas of the hip joint following arthroplasty occur, and the reason for this is uncertain. Clinicians must consider an appropriate rehabilitation program to address this pain.