CAJ | 학술논문

目的：探讨影响膝关节镜治疗膝骨性关节炎疗效的相关因素。方法采用回顾性研究方法共纳入80例该院的膝骨性关节炎患者，详细记录相关信息，所有患者均给予膝关节镜治疗，根据治疗后疗效分为有效组与无效组，应用多因素回归分析进行相关影响因素的分析。结果80例患者中有效组总例数为70例（显效患者32例＋有效患者38例），占87．5％，无效患者10例，占12．5％。单因素分析结果显示：Kellgren-Lawrence分级、BMI、病程、术前VAS疼痛评分、术前KSS-F评分影响膝关节镜治疗膝骨性关节炎的疗效，两组间差异比较存在统计学意义（P＜0．05）。进一步多因素分析显示Kellgren-Lawrence分级等级高、BMI指数高、术前VAS疼痛评分高、术前KSS-F评分低是影响膝关节镜治疗膝骨性关节炎疗效的独立危险因素（P＜0．05）。结论膝关节镜治疗膝骨性关节炎有较好的临床疗效，但Kellgren-Lawrence分级等级高、BMI指数高、术前VAS疼痛评分高、术前KSS-F评分低可以明显降低疗效。
목적：탐토영향슬관절경치료슬골성관절염료효적상관인소。방법채용회고성연구방법공납입80례해원적슬골성관절염환자，상세기록상관신식，소유환자균급여슬관절경치료，근거치료후료효분위유효조여무효조，응용다인소회귀분석진행상관영향인소적분석。결과80례환자중유효조총례수위70례（현효환자32례＋유효환자38례），점87．5％，무효환자10례，점12．5％。단인소분석결과현시：Kellgren-Lawrence분급、BMI、병정、술전VAS동통평분、술전KSS-F평분영향슬관절경치료슬골성관절염적료효，량조간차이비교존재통계학의의（P＜0．05）。진일보다인소분석현시Kellgren-Lawrence분급등급고、BMI지수고、술전VAS동통평분고、술전KSS-F평분저시영향슬관절경치료슬골성관절염료효적독립위험인소（P＜0．05）。결론슬관절경치료슬골성관절염유교호적림상료효，단Kellgren-Lawrence분급등급고、BMI지수고、술전VAS동통평분고、술전KSS-F평분저가이명현강저료효。
Objective To analyze the risk factors affecting the arthroscopic treatment in patients with knee osteoarthritis.Methods Ret-rospective analysis was made of eighty cases with knee osteoarthritis admitted to The Chinese Medicine Hospital of Suixi county.All pa-tients were given the arthroscopic treatment,and were assigned into effective and ineffective group according to the curative effect.Results Seventy cases (87.5%)were effective and 1 0 cases (1 2.5%)were invalid in 80 patients.Single factor analysis results showed that grade of Kellgren-Lawrence,BMI,course,preoperative VAS pain score and preoperative KSS-F score could affect the curative effect of the arthroscopic treatment in knee osteoarthritis.The difference between the two groups had statistical significance (P<0.05).Multifactor a-nalysis showed that the higher the grade of Kellgren-Lawrence,BMI and preoperative VAS pain score were,the lower the curative effect was.The lower preoperative KSS-F score was;the lower the curative effect was.They were independent risk factors of curative effect in ar-throscopic treatment of knee osteoarthritis (P<0.05).Conclusions There are better curative effects in arthroscopic treatment of knee osteoarthritis.But the higher Kellgren and Lawrence grade,BMI,preoperative VAS pain score and lower preoperative KSS-F score can de-crease curative effect obviously.