应用VAS和KSS分析关节镜滑膜切除术后疼痛及膝关节功能

发布时间：2018-06-02 13:52

  本文选题：膝关节 + 类风湿关节炎　； 参考：《基因组学与应用生物学》2017年04期

【摘要】：为了系统的评估膝关节类风湿性关节炎关节镜滑膜切除术后影响疼痛的因素和解决方法,本研究利用VAS和KSS系统评估了所在医院自2011年1月至2015年1月间57例膝关节类风湿关节炎行关节镜下滑膜切除术患者,我们将术后31例患者给予抗类风湿药物治疗6~12个月设为A组,26例病例未进行抗类风湿药物治疗或拒绝药物治疗的设为B组。术后3个月和6个月来院复查检测类风湿因子、血沉、C反应蛋白指标,疼痛模拟视觉评分(VAS)评分评估疼痛情况,膝关节功能KSS评分评估关节功能。所有患者进行多因素Logistic回归分析术后疼痛缓解因素,57例患者均获得术后6~18个月随访。研究结果表明,术后6个月膝前痛缓解率为73.7%(42/57),疼痛模拟视觉评分(VAS)平均(3.3±1.1)分;给予抗类风湿药物治疗的患者术后疼痛缓解率(80.6%,25/31)明显高于未给予药物治疗的患者(65.4%,17/26);单因素分析显示不同性别、年龄、手术时间等因素下患者行术后膝前痛的发生率差异无显著性(p0.05),多因素Logistic回归分析结果显示患者合并抗类风湿药物治疗是缓解膝关节类风湿关节炎关节镜滑膜切除术后膝前痛的独立影响因素(p0.05)。我们的评估分析初步表明:膝关节类风湿性关节炎患者行关节镜下滑膜切除术后发生膝前痛缓解率与术后合并抗类风湿药物有关,与患者年龄、性别、手术时间等无关。
[Abstract]:In order to systematically evaluate the factors affecting the pain after arthroscopic synovectomy for rheumatoid arthritis of the knee, In this study, 57 patients with rheumatoid arthritis of the knee underwent arthroscopic synovectomy in our hospital from January 2011 to January 2015, using VAS and KSS systems. Thirty-one patients were treated with antirheumatoid drugs for 6 ~ 12 months after operation. Group A was divided into group A (n = 26) and group B (without or without antirheumatoid drug therapy). Rheumatoid factor, erythrocyte sedimentation rate C reactive protein (ESR), visual analogue pain score (VASS) and knee joint function (KSS) were measured 3 months and 6 months after operation. All patients were followed up for 6 ~ 18 months by multivariate Logistic regression analysis. The results showed that the relief rate of anterior knee pain was 73.7 / 57 / 57.The average score of visual analogue pain score (VASs) was 3.3 卤1.1). The postoperative pain relief rate of patients who were treated with antirheumatoid drugs was significantly higher than that of patients who had not been treated with antirheumatoid drugs (80.6 or 25 / 31). Univariate analysis showed that there were different genders and ages. There was no significant difference in the incidence of postoperative anterior knee pain between the patients with operative time and other factors. The results of multivariate Logistic regression analysis showed that the combination of anti-rheumatoid drugs was the relief of arthroscopic synovectomy in patients with rheumatoid arthritis of the knee. The independent influencing factors of anterior knee pain after operation were p0.05. Our evaluation and analysis showed that the relief rate of anterior knee pain after arthroscopic synovectomy was related to postoperative antirheumatoid drugs, but it was not related to age, sex and operation time of patients with rheumatoid arthritis.
【作者单位】： 江汉大学附属医院;湖北医药学院附属太和医院;
【基金】：江汉大学附属医院 湖北医药学院附属太和医院资助
【分类号】：R687.4
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本文编号：1968996