人工全膝关节置换术治疗老年重度膝关节骨性关节炎临床观察

发布时间：2018-09-05 19:24

【摘要】：目的探讨观察人工全膝关节置换术治疗老年重度膝关节骨性关节炎(KOA)的临床效果。方法选择老年重度KOA患者43例,均进行人工全膝关节置换术。治疗前及治疗6个月,记录疼痛视觉模拟评分(VAS)及膝关节美国纽约特种外科医院(HSS)评分,并采用匹兹堡睡眠质量指数量表(PSQI)评价睡眠质量,采用WHO生存质量测定量表(WHOQOL-100)评价生存质量,记录治疗期间不良反应发生情况。结果 43例患者中39例完成随访。治疗前后VAS分别为(8.72±1.03)、(2.10±1.21)分,膝关节HSS评分分别为(41.16±8.39)、(89.24±9.14)分,PSQI评分分别为(9.65±3.49)、(2.58±1.17)分,WHOQOL-100评分分别为(50.42±14.87)、(89.52±18.47)分;治疗前后上述指标比较P均0.05。3例发生小腿肌间隙血栓,给予口服抗凝药物保守治疗并定期复查下肢血管彩超,治疗期间无肺动脉血栓栓塞、心血管不良事件、神经系统病变、急性肾损害以及感染等并发症发生。结论人工全膝关节置换术治疗老年重度KOA的效果及安全性均较好。
[Abstract]:Objective to observe the clinical effect of total knee arthroplasty (TKA) in the treatment of senile severe knee osteoarthritis (KOA). Methods 43 elderly patients with severe KOA underwent total knee arthroplasty. The pain visual analogue score (VAS) and the knee joint (HSS) score (New York Special surgery Hospital) were recorded before and 6 months after treatment. Pittsburgh Sleep quality Index (PSQI) was used to evaluate sleep quality. WHO quality of life scale (WHOQOL-100) was used to evaluate the quality of life. Results 39 of 43 patients were followed up. Before and after treatment, VAS score was (8.72 卤1.03), (2.10 卤1.21) and knee joint HSS score was (41.16 卤8.39), (89.24 卤9.14). The score of WHOQOL-100 was (5.42 卤14.87), (89.52 卤18.47) before and after treatment, and the score was (9.65 卤3.49), (2.58 卤1.17). The patients were given oral anticoagulant conservative therapy and regular reexamination of lower extremity vascular color ultrasound. There were no complications such as pulmonary thromboembolism, cardiovascular adverse events, neuropathy, acute renal damage and infection during the treatment. Conclusion Total knee arthroplasty is effective and safe in the treatment of elderly patients with severe KOA.
【作者单位】：内蒙古医科大学第二附属医院;
【分类号】：R687.4

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