摘要
目的探讨老年膝关节退行性骨关节炎患者实施关节置换术的最佳时机。方法对160例实施关节置换手术治疗的老年膝关节退行性骨关节炎患者的临床资料进行回顾性分析;其中,年龄60~69岁、70~79岁及大于80岁的患者75、52、33例,分别记为A组、B组和C组。对比三组不同时间膝关节功能、生活质量及并发症发生情况。结果三组膝关节功能及生活质量评分均随着时间的延长而显著升高(P<0.05);术后6、12个月,A组、B组患者的膝关节功能及生活质量评分均远高于C组(P<0.05);A组和B组膝关节功能及生活质量评分变化幅度均大于C组(P<0.05)。A组和B组并发症发生率均明显低于C组(P<0.05)。结论对年龄60~69岁、70~79岁老年膝关节退行性骨关节炎实施关节置换手术均能显著改善患者的膝关节功能和生活质量,且安全性均较高。
Objective To explore the best operation choice of arthroplasty for the treatment of senile knee joint degenerative osteoarthritis. Methods The clinical data of 160 senile knee joint degenerative osteoarthritis patients treated with arthroplasty were retrospectively analyzed. Among them, 75, 52 and 33 cases patients aged 60-69 years, 70-79 years and older than 80 years were selected as group A, group B and group C respectively. The knee joint functions, quality of life and complications in the three groups were compared. Results The scores of knee joint functions and quality of life of the three groups significantly increased as the time porlongs（P〈0.05）. At 6 and 12 months after operation, the scores of knee joint functions and quality of life in the group A and group B were significantly higher than those in the group C（P〈0.05）. The amplitude of variation in scores of knee joint functions and quality of life in the group A and group B were bigger than those of the group C（P〈0.05）. The incidence of complications in group A and group B was significantly lower than that in the group C（P〈0.05）. Conclusion Arthroplasty for senile knee joint degenerative osteoarthritis patients aged 60-69 years and70-79 years can significantly improve the function of the knee and the quality of life, and the safety of the knee is high.
作者
刘刚
孙栋
雷文黎
马建军
吕科
LIU Gang;SUN Dong;LEI Wen-li;MA Jian-jun;LV Ke(the First People＇s Hospital of Xianyang City, Xianyang 712000, China)
出处
《临床医学研究与实践》
2018年第14期48-49,共2页
Clinical Research and Practice
