膝关节骨关节炎患者全膝关节置换后影响关节功能恢复的因素  

Factors influencing joint function recovery of knee osteoarthritis after total knee arthroplasty

作　　者：艾尔西丁·阿不来提[1] 徐昌[1] 马强[1] 沈志敏[1] Ai’erxiding·A’bulaiti;XU Chang;MA Qiang;SHEN Zhi-min(The Second Joint Surgery Department,The Sixth Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang,830002,China)

机构地区：[1]新疆医科大学第六附属医院关节外二科,乌鲁木齐830002

出　　处：《中国骨与关节杂志》2020年第2期104-107,共4页Chinese Journal of Bone and Joint

摘　　要：目的分析膝关节骨关节炎(osteoarthritis,OA)患者全膝关节置换术(total knee arthroplasty,TKA)术后影响关节功能恢复的危险因素。方法回顾性总结2015年6月至2017年6月,在我院行单侧TKA患者共96例,统计患者基线资料包括性别、年龄、病程、疾病原因、文化程度和OA分期,手术情况包括平均时间、并发症和术后完全负重时间,术后关节功能恢复情况包括HSS评分和优良率、治疗依从性、随访并发症。随访6个月,以HSS评分≥70分为优良,分为有效组和无效组;采用单因素和多因素Logistic回归分析筛选影响关节功能恢复的危险因素。结果有效组82例,无效组14例,有效率85.4%。平均年龄:有效组(55.8±9.7)岁,无效组(66.9±11.2)岁,差异均有统计学意义(P=0.009);OA分期(Ⅲ/Ⅳ期):有效组60/22例(62.50%/22.92%),无效组6/8例(6.25%/8.33%),差异均有统计学意义(P=0.024);治疗依从性:有效组依从率86.59%,无效组64.29%,差异均有统计学意义(P=0.039)。Logistic回归模型分析得出,年龄、OA分期、围术期和随访并发症、治疗依从性均是影响关节功能恢复的独立危险因素(P<0.05)。结论OA患者的年龄、OA分期、围术期和随访并发症、治疗依从性均为影响关节功能恢复因素。Objective To analyze risk factors influencing joint function recovery in patients with knee osteoarthritis( OA) after total knee arthroplasty( TKA). Methods A retrospective summary was performed on 96 patients who underwent unilateral TKA in the hospital from June 2015 to June 2017. Baseline data were statistically analyzed, including gender, age, course of disease, disease causes, education and OA staging. Surgical data included the average time, complications and postoperative total weight-bearing time. Joint function recovery data consisted of HSS, excellence and good rate, treatment compliance and follow-up complications. Six months postoperatively, HSS ≥ 70 was defined as good. All patients were divided into effective group and ineffective group. Univariate and multivariate logistic regression analysis was performed to screen risk factors influencing joint function recovery. Results Effective group: n = 82, mean age( 55.8 ± 9.7) years, OA staging( III/IV stage) 60/22 cases( 62.50%/22.92%), compliance rate 86.59%. Ineffective group: n = 14, mean age( 66.9 ± 11.2) years, OA staging( III/IV stage) 6/8 cases( 6.25%/8.33%), compliance rate 64.29%. There were significant differences in the mean age, OA staging, and compliance between the two groups with effective rate of 85.4%.( P = 0.009, P = 0.024, P = 0.039). Logistic regression model analysis showed that age, OA staging, perioperative and follow-up complications, and compliance were independent risk factors influencing joint function recovery( P < 0.05). Conclusions Age, OA staging, perioperative and followup complications, and compliance are risk factors influencing joint function recovery.

关 键 词：骨关节炎 膝 关节成形术 置换 膝 危险因素 人工膝关节 

分 类 号：R687.4[医药卫生—骨科学]