骨质疏松对全膝关节置换术后康复的影响  

Effect of Osteoporosis on Rehabilitation After Total Knee Arthroplasty

作　　者：米尔阿地力·麦麦提依明 阿卜杜萨拉木·亚克甫 沈志敏[1] Mieradili·Maimaitiyiming;Abudusalamu·Yakepu;SHEN Zhi-min(The Second Joint Surgery Department,the Sixth Affiliated Hospitalof Xinjiang Medical University,Urumqi 830002,Xinjiang,China;Department of Traumatology and Orthopedics,the First People's Hospital of Kashgar Prefecture,Kashgar 844000,Xinjiang,China)

机构地区：[1]新疆医科大学第六附属医院关节外二科,新疆乌鲁木齐830002 [2]新疆喀什地区第一人民医院创伤骨科,新疆喀什844000

出　　处：《医学信息》2021年第9期99-101,108,共4页Journal of Medical Information

摘　　要：目的研究骨质疏松症对全膝关节置换术(TKA)后快速康复的影响。方法回顾性分析2018年9月~2019年9月在新疆医科大学第六附属医院关节外二科行全膝关节置换术的膝骨关节炎(KOA)患者78例,根据术前双能量X线测量的骨密度值(BMD),分为骨质疏松症(OP)组38例和非骨质疏松症(NOP)组40例,根据手术指征择期实施手术,比较两组患者膝关节疼痛VAS评分、膝关节HSS评分。结果术后7天、1、3、6个月两组VAS评分均低于术前,差异有统计学意义(P<0.05),术后7天、1、3、6个月两组VAS评分比较,差异无统计学意义(P>0.05),术后1年NOP组VAS评分低于OP组,差异有统计学意义(P<0.05);两组术后3、6个月膝关节HSS评分与术前比较,差异无统计学意义(P>0.05),术后1年两组HSS评分均高于术前,且NOP组HSS评分高于OP组,差异有统计学意义(P<0.05)。结论OP组TKA术后疼痛与NOP组比较为明显,NOP组TKA术后膝关节功能恢复优于OP组,OP不利于患者TKA后康复。Objective To study the effect of osteoporosis on rapid recovery after total knee arthroplasty(TKA).Methods A retrospective analysis of 78 patients with knee osteoarthritis(KOA)who underwent total knee arthroplasty in the Second Department of Surgery of the Sixth Affiliated Hospital of Xinjiang Medical University from September 2018 to September 2019.According to the preoperative bone mineral density(BMD)measured by dual-energy X-rays,they were divided into the osteoporosis(OP)group of 38 cases and the non-osteoporosis(NOP)group of 40 cases.According to the surgical indications,the operation was performed selectively,and the knee pain VAS score and the knee HSS score of the two groups were compared.Results The VAS scores of the two groups at 7 days,1,3,and 6 months after operation were lower than those before operation,the difference was statistically significant(P<0.05).There was no significant difference in VAS scores between the two groups at 7 days,1,3,and 6 months after operation(P>0.05).The VAS score of NOP group was lower than that of OP group one year after operation,the difference was statistically significant(P<0.05);There was no statistically significant difference in the HSS scores of the knee joints between the two groups at 3 and 6 months after surgery and those before surgery(P>0.05).The HSS scores of the two groups were higher than that of the preoperative one year after operation,and the HSS scores of the NOP group were higher than those of the OP group,the difference was statistically significant(P<0.05).Conclusion The postoperative pain after TKA in OP group is more obvious than that in NOP group.The knee joint function recovery after TKA in NOP group is better than that in OP group.OP is not conducive to the recovery of patients after TKA.

关 键 词：骨质疏松症 全膝关节置换术 骨密度 

分 类 号：R684[医药卫生—骨科学]