膝关节置换患者焦虑现状以及对膝关节康复功能的影响研究  

Anxiety status of knee replacement patients and its impact on knee rehabilitation function

作　　者：周琳琳[1] 胡敏[1] 司文腾[1] ZHOU Lin-lin;HU Min;SI Wen-teng(Surgery Room,Zhengzhou Orthopaedic Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州市骨科医院手术室,郑州450052

出　　处：《医药论坛杂志》2024年第6期633-636,640,共5页Journal of Medical Forum

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20191147)。

摘　　要：目的探讨膝关节置换患者焦虑现状以及对膝关节康复功能的影响。方法选取2021年8月至2023年8月郑州市骨科医院行膝关节置换手术患者98例,依据患者术后3个月Lysholm评分将患者分为49例观察组(Lysholm评分70分及以上),49例对照组(Lysholm评分小于70分)。比较两组患者不良情绪及社会支持评分,血清超氧化物歧化酶(superoxide dismutase,SOD)、丙二醛(malondialdehyde,MDA)水平,膝关节评分,生活质量,并发症发生率情况及患者不良情绪与膝关节康复功能的相关性。结果观察组SDS、SAS评分为(45.18±7.29)分和(42.09±6.72)分,均低于对照组,社会支持评分(63.62±8.48)分,高于对照组,P<0.05;手术前两组血清SOD、MDA水平比较无统计学意义(P>0.05),两组手术后血清SOD水平均升高,MDA水平均降低,且康复良好组血清SOD水平(25.63±4.07)U/L,高于对照组,MDA水平(3.36±1.12)nmol/L,低于对照组(P<0.05);手术前,两组患者疼痛、行走功能、关节肌力、关节活动范围比较无统计学意义(P>0.05)。两组手术后各膝关节评分均升高,且观察组均优于对照组(P<0.05);观察组社会功能,心理功能,躯体功能,物质生活状态等GQOLI-74评分分别为(81.46±6.27)分、(84.36±4.86)分、(81.47±6.80)分和(84.17±6.39)分,均高于对照组(P<0.05);与对照组并发症发生率(22.45%)比较,观察组(6.13%)更低(P<0.05);膝关节康复功能与不良情绪呈负相关(P<0.05)。结论膝关节置换患者不良情绪越低,越利于膝关节康复功能恢复。Objective To explore the anxiety status of knee replacement patients and its impact on knee rehabilitation function.Methods A study was conducted on 98 knee replacement patients admitted to our hospital from August 2021 to August 2023.Based on the Lysholm score at 3 months after surgery,the patients were divided into a good recovery group(with a Lysholm score of 70 or above)and a poor recovery group(with a Lysholm score of less than 70).Compare the negative emotions and social support scores,serum SOD and MDA levels,knee joint scores,quality of life,incidence of complications,and the correlation between negative emotions and knee joint rehabilitation function between two groups of patients.Results SDS and SAS scores of the observation group were(45.18±7.29)points and(42.09±6.72)points,both lower than those of the control group,and social support scores of the observation group were(63.62±8.48)points,higher than those of the control group,P<0.05;Before operation,the serum SOD and MDA levels of the two groups were compared(P>0.05).After operation,the serum SOD level of the two groups was increased,and the MDA level was decreased,and the serum SOD level of the group with good recovery was(25.63±4.07)U/L,which was higher than that of the control group(3.36±1.12)nmol/L.Lower than control group(P<0.05);Before operation,pain,walking function,joint muscle strength and joint range of motion were compared between the two groups(P>0.05).The knee joint scores of both groups were increased after surgery,and the observation group was better than the control group(P<0.05).The GQOLI-74 scores of social function,psychological function,physical function and material life status in the observation group were(81.46±6.27)scores,(84.36±4.86)scores,(81.47±6.80)scores and(84.17±6.39)scores,respectively,which were higher than those in the control group(P<0.05).The complication rate of observation group(6.13%)was lower than that of control group(22.45%)(P<0.05).There was a negative correlation between knee rehabilitation function

关 键 词：膝关节置换 焦虑 膝关节 康复功能 

分 类 号：R684[医药卫生—骨科学]