摘要
目的研究Ⅰ期与分期双膝关节置换术治疗骨关节炎的疗效、安全性及患者满意度。方法选取2012年5月至2015年5月本院收治的双膝关节置换术患者67例，据置换方案分为Ⅰ期组（Ⅰ期置换）和分期组（分期置换），其中Ⅰ期组患者39例，分期组患者28例。对比两组患者置换前后关节活动度（ROM）、疼痛度（VAS）、膝关节评分（KSS）、骨关节炎指数（WOMAC）、住院时间、并发症情况及患者满意度。结果两组患者置换后ROM、VAS评分、KSS评分及WOMAC评分较术前显著改善，数据比较差异有统计学意义（P〈0．05），组间数据比较差异无统计学意义（P〉0．05）；Ⅰ期组住院时间（16．4±2．5）d，显著短于分期组（29．2±2．8）d，数据比较差异有统计学意义（P〈0．05）；Ⅰ期组并发症发生率28．2％，分期组并发症发生率21．4％，数据比较差异无统计学意义（P〉0．05）；Ⅰ期组患者满意度87．2％，明显高于分期组64．3％，数据比较差异有统计学意义（P〈0．05）。结论Ⅰ期双膝关节置换与分期双膝关节置换治疗骨关节炎均具有较高的安全性和良好的疗效，但Ⅰ期双膝关节置换免去了二次手术，明显减少患者住院时间及医疗费用，患者满意度较高。
Objective To investigate the efficacy, safety and satisfaction degree of I phase and staged double knee arthroplasty in the treatment of osteoarthritis. Methods 67 patients undergoing double knee arthroplasty in our hospital from May 2012 to May 2015 were divided into I phase group （I phase double knee arthroplasty, n=39） and staged group （staged double knee arthroplasty, n=28） according to the replacement program. Compared the range of motion （ROM）, pain degree （VAS）, knee score （KSS）, osteoarthritis index （WOMAC）, length of stay, complications, and patients＇ satisfaction of two groups before and after the replacement. Results ROM, VAS score, KSS score, and WOMAC score in two groups significantly improved aRer replacement, with statistically significant differences before and after the replacement （P〈0.05）, without statistically significant differences between two groups （P〉0.05）. The hospitalization time of I phase group was （16.4±2.5）d, significantly shorter than （29.2±2.8）d of staged group, with statistically significant difference （P〈0.05）. The incidence of complications of I phase group was 28.2%, that of staged group was 21.4%, without statistically significant difference （P〉0.05）. Patients＇ satisfaction of I phase group was 87.2%, significantly higher than 64.3% of staged group, with statistically significant difference （P〈0.05）. Conclusion I phase and staged double knee artHroplasty for the treatment of osteoarthritis has high safety and good effect, but I phase double knee arthroplasty eliminates second operation, significantly reduces hospitalization time and medical cost, with higher patients＇ satisfaction.
出处
《国际医药卫生导报》
2017年第4期499-502,共4页
International Medicine and Health Guidance News
关键词
双膝关节置换术
骨关节炎
Ⅰ期
分期
安全性
疗效
Double knee arthroplasty
Osteoarthritis
I phase
Staged
Safety
Curative effect
