首页|人工膝关节置换术治疗膝关节骨性关节炎的临床疗效分析

人工膝关节置换术治疗膝关节骨性关节炎的临床疗效分析

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目的 分析人工膝关节置换术(total knee arthroplasty,TKA)治疗膝关节骨性关节炎(knee osteoarthritis,KOA)的临床效果.方法 随机选择2021年12月—2023年12月丰县人民医院收治的90例KOA患者为研究对象,依据不同治疗方法分为两组,对照组(45例)行单髁置换术治疗,观察组(45例)行TKA治疗.对比两组患者手术指标、疼痛介质、膝关节功能及并发症.结果 观察组手术时间(57.22±5.13)min、术后下床时间(4.02±1.33)d、住院时间(12.68±2.51)d,均短于对照组的(70.56±7.48)min、(5.12±2.10)d、(15.46±3.12)d,差异有统计学意义(t=9.866、2.969、4.657,P均<0.05).术后1个月,观察组膝关节屈伸活动度大于对照组,疼痛介质水平低于对照组,差异有统计学意义(P均<0.05).术后3个月,观察组膝关节功能评分高于对照组,差异有统计学意义(P<0.05).两组患者并发症发生率比较[4.44%(2/45)vs 11.11%(5/45)],差异无统计学意义(χ2=0.620,P>0.05).结论 TKA治疗KOA效果较好,膝关节功能及疼痛情况改善明显,并发症少,恢复快.
Clinical Effect Analysis of Total Knee Arthroplasty in the Treatment of Knee Osteoarthritis
Objective To analyze the clinical effect of total knee arthroplasty(TKA)in the treatment of knee osteoar-thritis(KOA).Methods 90 patients with KOA admitted to Fengxian People's Hospital form December 2021 to Decem-ber 2023 were randomly selected as the study objects and divided into two groups according to different treatment methods.The control group(45 cases)received monondylar replacement treatment,and the observation group(45 cases)received TKA treatment.Surgical indexes,pain mediators,knee function and complications were compared be-tween the two groups.Results The operation time of the observation group was(57.22±5.13)min,the time of getting out of bed after operation was(4.02±1.33)d and the time of hospitalization was(12.68±2.51)d,which were shorter than that of the control group(70.56±7.48)min,(5.12±2.10)d and(15.46±3.12)d,the differences were statistically significant(t=9.866,2.969,4.657,all P<0.05).One months after surgery,the knee flexion and extension motion of the observation group was higher than that of the control group,and the level of pain mediators was lower than that of the control group,the differences were statistically significant(both P<0.05).Three months after operation,the knee func-tion score of the observation group was higher than that of the control group,and the difference was statistically signifi-cant(P<0.05).There was no significant difference in the incidence of complications between the two groups[4.44%(2/45)vs 11.11%(5/45)](χ2=0.620,P>0.05).Conclusion TKA is effective in the treatment of KOA,with obvious im-provement of knee joint function and pain,less complications and faster recovery.

Total knee arthroplastyKnee osteoarthritisComplication

石良晨、刘新波、夏天、段纪晨

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丰县人民医院骨科,江苏 丰县 221700

丰县人民医院康复科,江苏 丰县 221700

徐州医科大学临床医学系,江苏 徐州 221000

人工膝关节置换术 膝关节骨性关节炎 并发症

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(23)