关节镜下胫骨嵌入术对膝关节后交叉韧带损伤患者疼痛症状及QOL评分的影响  

Effect of Arthroscopic Tibial Embedding on Pain Symptoms and QOL Score in Patients with Posterior Cruciate Ligament Injury of Knee Joint

作　　者：胡兴 冯华明 黄笃 邹三明 HU Xing;FENG Huaming;HUANG Du;ZOU Sanming

机构地区：[1]武汉科技大学附属孝感医院,湖北孝感432100

出　　处：《中国医学创新》2020年第1期55-58,共4页Medical Innovation of China

摘　　要：目的:探讨关节镜下胫骨嵌入术对膝关节后交叉韧带损伤患者疼痛症状及生活质量(QOL)评分的影响。方法:选取2015年1月-2018年9月本院膝关节后交叉韧带损伤患者60例,按随机数字表法分为对照组(n=30)与观察组(n=30)。对照组给予常规治疗,观察组进行关节镜下胫骨嵌入术治疗。比较两组治疗后5、10、15 d视觉模拟评分(VAS),治疗前后QOL评分及膝关节功能。结果:治疗后5、10、15 d,观察组VAS评分明显低于对照组(P<0.05)。治疗前,两组生理职能、社会功能及角色功能评分比较,差异均无统计学意义(P>0.05);治疗后,两组生理职能、社会功能及角色功能评分均高于治疗前(P<0.05),且观察组生理职能、社会功能及角色功能评分均明显高于对照组(P<0.05)。两组治疗前Lysholm膝关节评分以及KT-2000关节测量值比较,差异均无统计学意义(P>0.05);治疗后,观察组Lysholm膝关节评分明显高于对照组,而KT-2000关节测量值低于对照组(P<0.05)。结论:关节镜下胫骨嵌入术治疗膝关节后交叉韧带损伤,能有效提高治疗效果、改善疼痛症状及生活质量,值得推广应用。Objective:To investigate the effect of arthroscopic tibial embedding on pain symptoms and quality of life(QOL)score in patients with posterior cruciate ligament injury of knee joint.Method:A total of 60 patients with posterior cruciate ligament injury of the knee in our hospital from January 2015 to September 2018 were selected and divided into control group(n=30)and observation group(n=30)according to the random number table.The control group was treated with conventional treatment,and the observation group was treated with arthroscopic tibial embedding.Visual analogue scores(VAS)at 5,10 and 15 d after treatment,QOL scores and knee function before and after treatment were compared.Result:At 5,10 and 15 d after treatment,the VAS score in the observation group was significantly lower than that in the control group(P<0.05).Before treatment,the scores of physiological function,social function and role function of the two groups were compared,the differences were statistically significant(P>0.05).After treatment,the scores of physiological function,social function and role function of the two groups were higher than before treatment(P<0.05).After treatment,the scores of physiological function,social function and role function in the observation group were significantly higher than those in the control group(P<0.05).There were no significant differences in Lysholm knee score and KT-2000 joint measurement between the two groups before treatment(P>0.05).After treatment,Lysholm knee score in the observation group was significantly higher than that in the control group,while KT-2000 joint measurement was lower than that in the control group(P<0.05).Conclusion:Arthroscopic tibial embedding for the treatment of patients with posterior cruciate ligament injury of knee joint can effectively improve the treatment effect,the symptoms of pain and the quality of life.

关 键 词：关节镜下胫骨嵌入术 膝关节后交叉韧带损伤 疼痛症状 膝关节功能 

分 类 号：R687.4[医药卫生—骨科学]