人工全膝关节置换术治疗严重类风湿性关节炎和骨性关节炎的疗效观察

发布时间：2018-02-21 07:56

本文关键词： 人工全膝关节置换术类风湿性关节炎骨性关节炎临床价值研究　出处：《临床医药文献电子杂志》2016年44期 　论文类型：期刊论文

【摘要】：目的研究人工全膝关节置换术治疗严重类风湿性关节炎和骨性关节炎的疗效,探究对于类风湿性关节炎和骨性关节炎的有效的科学的治疗方法。方法选取2010年1月~2015年1月我院收治的严重类风湿性关节炎和骨性关节炎患者58例作为研究对象,随机将其分为对照组和干预组,各29例。干预组患者使用人工全膝关节置换术的治疗方法进行救治,对照组的患者采用中医的方法进行救治。对比两组患者治疗前后的关节屈曲评分和膝关节的功能评分,不良反应发生率,以及对两组患者的恢复情况进行对比。结果干预组的患者术后关节屈曲度较为正常,差异有统计学意义(P0.01),术后干预组关节功能评分(83.27±3.90)分,高于对照组的(67.30±5.90)分,差异有统计学意义(P0.05)。干预组的各骨关节恢复情况明显优于对照组的情况,差异有统计学意义(P0.05)。治疗后不良反应的发生率,干预组明显低于对照组。结论对于严重类风湿关节炎和骨性关节炎采用人工全膝关节置换术治疗的方法,高效准确,解决了关节炎患者的问题,患者的治疗满意度大幅度提高,值得普遍应用。
[Abstract]:Objective to study the efficacy of total knee arthroplasty in the treatment of severe rheumatoid arthritis and osteoarthritis. To explore the effective and scientific treatment of rheumatoid arthritis and osteoarthritis. Methods 58 patients with severe rheumatoid arthritis and osteoarthritis were selected from January 2010 to January 2015. The patients in the intervention group were treated with total knee arthroplasty. The patients in the control group were treated with traditional Chinese medicine. The joint flexion score and the knee joint function score were compared before and after treatment, and the incidence of adverse reactions was compared between the two groups. Results the postoperative joint flexion in the intervention group was normal, and the difference was statistically significant (P 0.01). The joint function score of the intervention group was 83.27 卤3.90, which was higher than that of the control group (67.30 卤5.90). The recovery of each bone and joint in the intervention group was significantly better than that in the control group, and the difference was statistically significant (P 0.05). The incidence of adverse reactions after treatment was significantly higher in the intervention group than in the control group. Conclusion the treatment of severe rheumatoid arthritis and osteoarthritis with artificial total knee arthroplasty is highly effective and accurate. It is worthy of universal application.
【作者单位】：怀来县医院骨科;涿鹿县医院骨外科;中国人民解放军第二五一医院骨科;张家口市第二医院骨六科;
【分类号】：R687.4

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