中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
16期
2498-2500
,共3页
骨关节炎,膝%膝关节,人工%老年人
骨關節炎,膝%膝關節,人工%老年人
골관절염,슬%슬관절,인공%노년인
Osteoarthritis%knee%Knee prosthesis%Aged
目的：探讨高屈曲度全膝关节假体置换术治疗老年人膝骨关节病的临床疗效。方法68例患者（68膝）按照就诊顺序随机分为两组，分别采用高屈曲度全膝关节假体置换治疗和普通后稳定假体置换治疗，比较两组术前、术后3个月和术后1年采用美国特种外科医院（ HSS）评分标准和美国西部Ontario 和McMaster大学骨性关节炎指数（ WOMAC）评价膝关节功能、膝关节最大屈曲度和活动度及膝前痛发生率。结果治疗后3个月、1年HSS和WOMAC与治疗前差异均有统计学意义（观察组：t＝6．28、7．36，对照组：t＝5.23、7．35，均P＜0．05）；术后1年，观察组HSS与对照组差异有统计学意义（t＝4．69，P＜0．05）；术后3个月起观察组WOMAC与对照组差异有统计学意义（t＝6．49，P＜0．05）；治疗后3个月、1年，两组患者膝关节活动度与治疗前差异均有统计学意义（观察组：t＝5．24、4．66，对照组：t＝5．81、4．64，均P＜0．05）；术后1年，观察组最大屈曲度和关节活动度与对照组差异有统计学意义（t＝6．64、5．33，均P＜0．05）。观察组术后膝前痛发生率2．94％，对照组14．71％，两组发生率差异有统计学意义（χ2＝5．23，P＜0．05）。结论高屈曲全膝关节假体置换治疗老年人膝骨关节病可以改善术后远期膝关节功能和关节活动度，减少膝前痛发生。
目的：探討高屈麯度全膝關節假體置換術治療老年人膝骨關節病的臨床療效。方法68例患者（68膝）按照就診順序隨機分為兩組，分彆採用高屈麯度全膝關節假體置換治療和普通後穩定假體置換治療，比較兩組術前、術後3箇月和術後1年採用美國特種外科醫院（ HSS）評分標準和美國西部Ontario 和McMaster大學骨性關節炎指數（ WOMAC）評價膝關節功能、膝關節最大屈麯度和活動度及膝前痛髮生率。結果治療後3箇月、1年HSS和WOMAC與治療前差異均有統計學意義（觀察組：t＝6．28、7．36，對照組：t＝5.23、7．35，均P＜0．05）；術後1年，觀察組HSS與對照組差異有統計學意義（t＝4．69，P＜0．05）；術後3箇月起觀察組WOMAC與對照組差異有統計學意義（t＝6．49，P＜0．05）；治療後3箇月、1年，兩組患者膝關節活動度與治療前差異均有統計學意義（觀察組：t＝5．24、4．66，對照組：t＝5．81、4．64，均P＜0．05）；術後1年，觀察組最大屈麯度和關節活動度與對照組差異有統計學意義（t＝6．64、5．33，均P＜0．05）。觀察組術後膝前痛髮生率2．94％，對照組14．71％，兩組髮生率差異有統計學意義（χ2＝5．23，P＜0．05）。結論高屈麯全膝關節假體置換治療老年人膝骨關節病可以改善術後遠期膝關節功能和關節活動度，減少膝前痛髮生。
목적：탐토고굴곡도전슬관절가체치환술치료노년인슬골관절병적림상료효。방법68례환자（68슬）안조취진순서수궤분위량조，분별채용고굴곡도전슬관절가체치환치료화보통후은정가체치환치료，비교량조술전、술후3개월화술후1년채용미국특충외과의원（ HSS）평분표준화미국서부Ontario 화McMaster대학골성관절염지수（ WOMAC）평개슬관절공능、슬관절최대굴곡도화활동도급슬전통발생솔。결과치료후3개월、1년HSS화WOMAC여치료전차이균유통계학의의（관찰조：t＝6．28、7．36，대조조：t＝5.23、7．35，균P＜0．05）；술후1년，관찰조HSS여대조조차이유통계학의의（t＝4．69，P＜0．05）；술후3개월기관찰조WOMAC여대조조차이유통계학의의（t＝6．49，P＜0．05）；치료후3개월、1년，량조환자슬관절활동도여치료전차이균유통계학의의（관찰조：t＝5．24、4．66，대조조：t＝5．81、4．64，균P＜0．05）；술후1년，관찰조최대굴곡도화관절활동도여대조조차이유통계학의의（t＝6．64、5．33，균P＜0．05）。관찰조술후슬전통발생솔2．94％，대조조14．71％，량조발생솔차이유통계학의의（χ2＝5．23，P＜0．05）。결론고굴곡전슬관절가체치환치료노년인슬골관절병가이개선술후원기슬관절공능화관절활동도，감소슬전통발생。
Objective To investigate the elderly knee osteoarthritis high-flexion total knee prosthesis re-placement therapy clinical efficacy .Methods 68 patients(68 knees) were randomly divided into two groups in ac-cordance with the order of treatment ,each group was treated with high flexion total knee prosthesis replacement therapy and the general treatment of posterior stabilized prosthesis ,compared before and after surgery in March and after a in HSS,WOMAC knee function , maximum knee flexion and knee activity before the pain incidence .Results Two groups of patients HSS and WOMAC after treatment ,3 months,1 year compared with before treatment ,the differences were statistically significant(t=6.28,7.36,all P<0.05),the control group after treatment,3 months and 1 year compared with before treatment,there was statistically significant(t=5.23,7.35,all P<0.05);HSS in observation group after 1 year compared with the control group ,the difference was statistically significant (t=4.69,P<0.05), WOMAC after 3 months compared with the control group,the difference was statistically significant (t =6.49,P<0.05);Two groups of patients knee activity after treatment ,3 months,1 year compared with before treatment , the differences were statistically significant (t=5.24,4.66,all P<0.05),the control group after treatment ,3 months and 1 year compared with before treatment ,the differences were statistically significant (t=5.81,4.64,all P<0.05);ob-servation group after 1 year maximum flexion and range of motion and control group ,the difference were statistically significant(t=6.64,5.33,all P<0.05).The incidence of postoperative anterior knee pain of observation group and control were 2.94%,14.71%,there was statistically significant difference (χ2 =5.23,P<0.05).Conclusion Eld-erly high flexion knee osteoarthritis total knee prosthesis replacement therapy can improve long -term postoperative knee function and range of motion ,which also can reduce knee pain occur .
