首页|富血小板血浆注射治疗膝骨关节炎疗效的相关因素分析

富血小板血浆注射治疗膝骨关节炎疗效的相关因素分析

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目的:探讨影响富血小板血浆(PRP)注射治疗膝骨性关节炎(KOA)疗效的相关因素.方法:选取82 例KOA患者进行PRP治疗.采用西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、视觉模拟评分(VAS)、基于X线的Kellgren-Lawrence(K-L)分级评估膝关节情况,并将治疗前后的WOMAC变化作为疗效的评价指标.结果:PRP治疗可显著降低WOMAC分数.单因素分析显示治疗前K-L分级、病程与PRP治疗后WOMAC分数改变有统计学意义.多因素线性回归显示治疗前高VAS评分、治疗前低K-L分级、男性是影响PRP治疗的有利因素,相关性显示K-L分级与WOMAC改变呈负相关关系.结论:重度疼痛、K-L分级轻中度的男性KOA患者是影响PRP治疗的有利因素.
Factors Associated with The Efficiency of Platelet-Rich Plasma Injection Among Patients with Knee Osteoarthritis
Objective:To identify the factors that influence the effect of PRP in the treatment of KOA.Methods:PRP was performed in 82 patients who were diagnosed with KOA.A Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)was used to score the level of KOA.Visual Analogue Scale(VAS),X-ray and subsequent Kellgren-Lawrence(K-L)grading evaluation were performed before the treatment.The change of WOMAC before and after treatment was used to evaluate the effect of PRP.Results:WOMAC decreased after PRP therapy.Univariate analysis showed that K-L grade before treatment,course of disease and WOMAC score after PRP treatment had statistical significance.Multifactor linear regression showed that high VAS score before treatment,low K-L grade before treatment and male patients were protective factors affecting PRP treatment,and correlation showed that K-L grade was negatively correlated with WOMAC changes.Conclusion:Male KOA patients with severe pain and mild to moderate K-L rating were favorable factors for PRP treatment.

platelet-rich plasmaknee OsteoarthritisKellgren-Lawrence graderegression analysis

林彩娜、郑耀超、刘黎嘉琪、易伟民、伍少玲

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中山大学孙逸仙纪念医院康复医学科(510120)

富血小板血浆 膝骨关节炎 Kellgren-Lawrence分级 回归分析

广东省广州市神经调控和再生医学康复重点实验室广东省康复医学临床医学研究中心项目

2024A03J06992023B110003

2024

岭南急诊医学杂志
广东省医学会

岭南急诊医学杂志

影响因子:0.437
ISSN:1671-301X
年,卷(期):2024.29(5)