同期和分期全膝关节置换术对老年双膝关节骨关节炎患者的临床效果及并发症发生率分析  

Clinical Effect and Complication Rate of Simultaneous and Staged Total Knee Arthroplasty in Elderly Patients with Osteoarthritis of Both Knees

作　　者：朱明雨[1] ZHU Mingyu(Department of Orthopedics,the First People's Hospital of Qujing City,Qujing,Yunnan Province,655000 China)

机构地区：[1]云南省曲靖市第一人民医院骨科,云南曲靖655000

出　　处：《中外医疗》2021年第25期49-51,55,共4页China & Foreign Medical Treatment

摘　　要：目的探究同期及分期双侧全膝关节置换术方案治疗罹患双侧膝关节骨关节炎(KOA)老年患者所取得的应用效果及并发症发生率。方法随机选取2017年6月—2019年2月该院收治的60例罹患老年双侧KOA患者进行研究,等比分组,对照组纳入的30例研究对象开展同期双侧全膝关节置换术治疗,观察组纳入的30例研究对象开展分期双侧全膝关节置换术治疗,测评结果数值进行对比分析。结果两组总有效率对比,观察组总效率为93.33%,对照组为90.00%,差异无统计学意义(χ^(2)=0.000,P=1.000)。观察组中手术时间和住院时间时长经观测结果相较对照组更长,术后输血量和引流量测评数值相较对照组更少,差异有统计学意义(P<0.05)。治疗前,两组关节功能评分差异无统计学意义(P>0.05);治疗后,两组的HSS评分、关节活动度和WOMAC骨关节炎指数较治疗前明显改善,但组间差异无统计学意义(P>0.05);相较对照组,观察组并发症发生率更低,差异有统计学意义(P<0.05)。结论应用同期和分期双侧全膝关节方案治疗老年双侧KOA患者疗效均显著,但后者并发症发生更低,临床安全性更高。Objective To explore the application effect and complication rate of simultaneous and staged bilateral total knee arthroplasty in the treatment of elderly patients with bilateral knee osteoarthritis(KOA).Methods The study subjects random selection 60 elderly patients with bilateral knee osteoarthritis who were admitted in the department of the hospital from June 2017 to February 2019,and they were divided into equal proportions.The 30 subjects included in the control group underwent bilateral knee arthroplasty during the same period,and the 30 subjects included in the observation group underwent staged bilateral total knee arthroplasty treatment evaluated results for comparative analysis.Results The total effective rate between the two groups was 93.33%in the observation group and 90.00%in the control group,the difference was not statistically significant(χ^(2)=0.000,P=1.000).The operation time and hospital stay in the observation group were longer than those in the control group,and the postoperative blood transfusion volume and drainage volume were less than those in the control group,the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in joint function scores between the two groups(P>0.05).After treatment,HSS score,range of motion and WOMAC osteoarthritis index in the two groups were significantly improved compared with before treatment,but the difference between the groups was not statistically significant(P>0.05).Compared with the control group,the incidence of complication rate in the observation group were lower,and the difference was statistically significant(P<0.05).Conclusion The application of the simultaneous and staged bilateral total knee regimen in the treatment of elderly patients with bilateral KOA is effective,but the latter has lower complications and higher clinical safety.

关 键 词：同期双侧全膝关节置换术 分期双侧全膝关节置换术 双膝关节骨节炎 疗效 并发症 

分 类 号：R4[医药卫生—临床医学]