摘要
目的探讨膝骨关节炎患者全膝关节置换术后关节功能的相关影响因素。方法回顾性分析西安交通大学附属红会医院骨科于2015年1月至2018年6月期间收治的160例膝骨关节炎患者的临床资料,根据术后1年美国特种外科医院(HSS)系统评分,将88例HSS评分≥66分的患者纳入功能良好组,72例HSS评分<66分的患者纳入功能不佳组。比较两组患者的年龄、性别、体质量指数(BMI)、术前HSS评分、是否采用软组织平衡术、术后胫骨平台后倾角、术后疼痛程度[视觉模拟评分(VAS)],并就关节功能的影响因素进行Logistic回归分析。结果功能不佳组患者中年龄≥65岁、未使用软组织平衡术、BMI≥25 kg/m^2、术前HSS评分<45分及术后VAS≥6分的比例分别为50.00%、58.33%、61.11%、50.00%、74.24%,明显高于功能良好组的32.95%、43.18%、45.56%、32.95%、57.78%,差异均有统计学意义(P<0.05);Logistic回归分析结果显示,年龄、BMI、软组织平衡术及术后疼痛是影响膝骨关节炎患者全膝关节置换术后关节功能的独立危险因素(P<0.05)。结论高龄、超重或肥胖、未采用软组织平衡术、术后疼痛为膝骨关节炎患者全膝关节置换术后关节功能恢复的独立危险因素,临床上应该针对上述危险因素进行积极的干预,以提高术后的关节功能恢复效果。
Objective To investigate the influence factors of joint function in patients with knee osteoarthritis after total knee arthroplasty.Methods The clinical data of 160 patients with knee osteoarthritis treated in Department of Orthopaedics,Red Society Hospital Affiliated to Xi'an Jiaotong University from January 2015 to June 2018 were retrospectively analyzed.According to the Hospital for Special Surgery(HSS)system score one year after operation,88 patients with HSS score≥66 were included into the good functional group and 72 patients with HSS score<66 were included into the poor functional group.The age,sex,body mass index(BMI),preoperative HSS score,whether to use soft tissue balance,tibial plateau tilt angle after operation,and the degree of pain after operation(visual analogue scale,VAS)were compared between the two groups.Logistic regression analysis was made on the influencing factors of joint function.Results The proportion of age(>65 years old),non-use of soft tissue balance,BMI(≥25 kg/m^2),HSS score(<45 before operation)and VAS(≥6 after operation)in the group with poor function were 50.00%,58.33%,61.11%,50.00%,74.24%,respectively,which were significantly higher than corresponding 32.95%,43.18%,45.56%,32.95%,57.78%in the group with good function(all P<0.05).Logistic regression analysis showed that age,BMI,soft tissue balance and postoperative pain were the independent risk factors for joint function in patients with knee osteoarthritis after total knee arthroplasty(all P<0.05).Conclusion Age,overweight or obesity,non-use of soft tissue balance and post-operative pain are independent risk factors for recovery of joint function in patients with knee osteoarthritis after total knee arthroplasty.In order to improve the effect of joint function recovery after operation,active intervention should be carried out according to the above risk factors.
作者
付婷
史达
柴惠斌
李辉
FU Ting;SHI Da;CHAI Hui-bin;LI Hui(Joint Disease Area in Department of Orthopaedics of Traditional Chinese Medicine,Red Society Hospital Affiliated to Xi'an Jiaotong University,Xi'an 710054,Shaanxi,CHINA;Knee Joint Disease Area in Department of Joint Surgery,Red Society Hospital Affiliated to Xi'an Jiaotong University,Xi'an 710054,Shaanxi,CHINA)
出处
《海南医学》
CAS
2019年第24期3197-3199,共3页
Hainan Medical Journal
关键词
膝关节
骨关节炎
全膝关节置换术
关节功能
因素
Knee joint
Osteoarthritis
Total knee replacement
Joint function
Factors
