摘要
目的 探讨膝骨关节炎应用关节镜治疗临床疗效及影响因素。方法 按照纳入标准,采用随机对照方法(随机采用数字表法)选取2020年1~12月住院或门诊患者80例,治疗组与对照组人数比例为1:1(即治疗组与对照组各40例),对照组患者接受中西医结合保守治疗,治疗组患者接受关节镜清理术治疗。用统计学方法对观察指标进行资料分析,对比两组疗效,探讨影响治疗组疗效的因素。结果 治疗后1、3、6个月治疗组患者的VAS评分均低于对照组(P<0.05),Lysholm评分均高于对照组(P<0.05)。治疗组患者膝关节功能恢复的优良率为75.00%(30/40),高于对照组的62.50%(25/40)(P<0.05)。单因素分析显示,膝骨关节炎应用关节镜治疗临床疗效影响因素包括性别、病程时间、体质量指数(BMI)、术前患膝X光片、Kellgren-Lawrence分级、术中软骨损伤关节镜下Outerbridge分级(P<0.05)。多因素logistic回归分析显示,膝骨关节炎应用关节镜治疗临床疗效影响因素为BMI>26 kg/m;、Kellgren-Lawrence分级高、Outerbridge分级高(P<0.05)。结论 膝骨关节炎应用关节镜治疗临床疗效影响因素包括BMI>26 kg/m;、Kellgren-Lawrence分级高、Outerbridge分级高。
Objective To investigate the factors affecting the clinical efficacy of arthroscopy in the treatment of knee osteoarthritis. Methods According to the inclusion criteria, a randomized(random number table method) controlled method was adopted in this study. A total of 80 inpatients or outpatients from January 2020 to December 2020 were selected and divided at the ratio of 1:1, into the treatment group and the control group(i.e.,40 cases each in the treatment group and the control group).Patients in the control group received conservative treatment with integrated Chinese and western medicine, while patients in the treatment group were treated with arthroscopic debridement. The observation indexes were analyzed by statistical methods. The efficacy was compared between the treatment group and the control group, and the factors affecting the efficacy of the treatment group were analyzed and investigated. Results The visual analogue scale(VAS) scores of patients in the treatment group were lower than those in the control group 1, 3 and 6 months after treatment(P<0.05),while the Lysholm scores were higher than those in the control group(P<0.05).The excellent rate of knee function recovery in the treatment group was 75.00%(30/40),which was higher than 62.50%(25/40) in the control group(P<0.05). Univariate analysis showed that the factors affecting the clinical efficacy of arthroscopy in the treatment of knee osteoarthritis included gender, duration of disease, body mass index, preoperative Kellgren-Lawrence grading of radiographs of the affected knee,and intraoperative Outerbridge grading of arthroscopic cartilage damage(P<0.05).Multivariate logistic regression analysis showed that factors affecting the clinical efficacy of arthroscopy in the treatment of knee osteoarthritis included body mass index>26 kg/m;, high Kellgren-Lawrence grade, and high Outerbridge grade(P <0.05). Conclusion Factors affecting the clinical efficacy of arthroscopy in the treatment of knee osteoarthritis include body mass index>26 kg/m;, high Kellgren-Lawrence grade and high Outerbridge grade.
作者
陶平
乐智卿
张明霞
黄夏雨
穆卫强
张祥华
程远骏
戎宇
TAO Ping;LE Zhiqing;ZHANG Mingxia;HUANG Xiayu;MU Weiqiang;ZHANG Xianghua;CHENG Yuanjun;RONG Yu(Department of Orthopedics and Traumatology,Jingdezhen Hospital of Traditional Chinese Medicine in Jiangxi Province,Jingdezhen 333000,China;Department of Stroke Disease,Jingdezhen Hospital of Traditional Chinese Medicine in Jiangxi Province,Jingdezhen 333000,China)
出处
《中国现代医生》
2022年第10期81-84,共4页
China Modern Doctor
基金
江西省卫生健康委科技计划项目(202140432)。
