膝骨关节炎患者全膝关节置换后关节功能恢复影响因素分析  

Influence factors of knee joint function rehabilitation after total knee arthroplasty in patients with knee osteoarthritis

作　　者：丁韶龙[1] 康波[1] 李志军[1] DING Shaolong;KANG Bo;LI Zhijun(Department of Joint Surgery,Sanmenxia Central Hospital,Sanmenxia 472000,Henan Province,China)

机构地区：[1]三门峡市中心医院关节外科,河南三门峡472000

出　　处：《新乡医学院学报》2020年第6期563-565,共3页Journal of Xinxiang Medical University

摘　　要：目的分析膝骨关节炎(OA)患者全膝关节置换术(TKA)后关节功能恢复的影响因素。方法选择2015年6月至2017年6月三门峡市中心医院收治的96例行单侧TKA患者为研究对象。收集患者的一般资料(性别、年龄、病程、疾病原因、文化程度和OA分期)、手术情况(手术平均时间、并发症和术后完全负重时间)和术后关节功能恢复情况[美国特种外科医院(HSS)评分和优良率、治疗依从性、随访并发症]。随访6个月,根据HSS评分将患者分为有效组(HSS评分≥70)(n=82)和无效组(HSS评分<70)(n=14)。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。结果有效组和无效组患者的年龄、OA分期和完全负重时间比较差异有统计学意义(P <0.05);2组患者的性别、病程、体质量指数、疾病原因、西安大略和麦克马期特大学骨关节炎指数评分、病变部位、文化程度、平均手术时间、住院期间并发症、随访时并发症、术前HSS评分比较差异均无统计学意义(P> 0.05)。Logistic回归分析结果显示,患者年龄、OA分期、并发症、依从性等均是影响关节功能恢复的独立危险因素(P <0.05)。结论筛选影响OA患者TKA关节功能恢复的危险因素对提高手术效果,改善生存质量有极为重要的临床意义。Objective To study the risk factors of influencing knee joint function rehabilitation after total knee arthroplasty(TKA)in patients with knee osteoarthritis(OA).Methods A total of 96 patients who underwent unilateral TKA in Sanmenxia Central Hospital from June 2015 to June 2017 were selected as study objects.The baseline data(gender,age,course of disease,cause of disease,degree of education and OA stage),operation condition(mean time of operation,complications and full weight-bearing time),and knee joint function rehabilitation[hospital of special surgery(HSS)score and excellent rate,treatment compliance and follow-up complications]were collected.All patients were followed up for 6 months.The patients were divided into effective group(HSS score≥70)(n=82)and ineffective group(HSS score<70)(n=14)according to the HSS score.The risk factors influencing knee joint function rehabilitation were screened by single factor and multiple factors logistic regression analysis.Results There were significant differences in age,OA stage and full weight-bearing time of patients between the effective group and the ineffective group(P<0.05);there was no significant difference in gender,course of disease,body mass index,disease cause,the Western Ontario and McMaster universities osteoarthritis index score,lesion site,education level,average operation time,complications during hospitalization,complications during follow-up and HSS score preoperative of patients between the two groups(P>0.05).Logistic regression analysis showed that the age,OA stage,complications and treatment compliance were independent risk factors of influencing knee joint function rehabilitation(P<0.05).Conclusion It is important to scan risk factors influencing knee joint function rehabilitation of patients with OA after TKA for improving operation effect and quality of life.

关 键 词：骨关节炎 全膝关节置换术 危险因素 多因素LOGISTIC回归分析 

分 类 号：R687.4[医药卫生—骨科学]