老年性骨质疏松症患者全膝关节置换术后康复评估与治疗研究  

Rehabilitation assessment and treatment research for senile osteoporosis patients after total knee arthroplasty

作　　者：樊继波[1] 覃勇[1] 唐晓松[1] 董泽波[1] 杨磊[1] 

机构地区：[1]三峡大学第一临床医学院,湖北宜昌443000

出　　处：《中国骨质疏松杂志》2014年第10期1207-1211,共5页Chinese Journal of Osteoporosis

基　　金：三峡大学第一临床医学院科研发展基金(KFJ2011046)

摘　　要：目的研究老年性骨质疏松症患者全膝关节置换术(total knee arthroplasty,TKA)后膝关节周径、VAS指数(visual analogue score,VAS)、等长抵抗运动肌力,膝关节主动活动度(active rang og motion)及腰椎骨密度(bone mineral density,BMD)之间的关系。方法选取确诊并纳入全膝关节表面置换术的骨质疏松症患者48例。依据患者临床表现及手术指征实施手术治疗,行手术前将依据膝关节功能评估康复系统给予术前系统评估,术后定期给予评估及物理治疗。结果 TKA术后不同康复阶段统计描述可见治疗组膝关节周径、VAS指数、等长抵抗运动肌力及腰椎骨密度改善程度明显优于对照组(P<0.05)。线性回归分析发现各项评估指标有一定的相关性(P<0.05)。结论全膝关节置换术后患者腰椎骨密度的控制可以从一定程度上保证康复的疗效。Objective To study the relationship among VAS index,isometric strength,active rang og motion,and the bone mineral density（BMD） of the lumbar vertebrae in the senile osteoporosis patients with total knee arthroplasty（TKA）.Methods Forty-eight osteoporotic patients after TKA were selected.According to the clinical manifestation and surgical indication,surgery was performed.The knee joint function was evaluated based on the rehabilitation system before the surgery.The evaluation and physical therapy were continued after the surgery.Results The improvement of the circumference of the knee joint,VAS index,isometric strength,and the BMD of the lumbar vertebrae in the treatment group was much better than that in the control group during different recovery stages after TKA（P 0.05）.Linear regression analysis found that the evaluation indexes had certain correlation.Conclusion Control of the BMD of the lumbar vertebrae may contribute to rehabilitation for patients after TKA.

关 键 词：骨质疏松症 全膝关节置换术 康复 骨密度 

分 类 号：R68[医药卫生—骨科学]