膝关节炎患者全膝关节置换术后发生运动障碍的危险因素分析
Analysis on the Risk Factors for the Occurrence of Movement Disorders After Total Knee Arthroplasty in Patients with Knee Osteoarthritis
李振杰 1姜志圣 1张凯凯 1张自勇1
作者信息
- 1. 濮阳市中医院骨二科,河南 濮阳 457000
- 折叠
摘要
目的 分析膝关节炎患者全膝关节置换术后发生运动障碍的相关危险因素.方法 125 例接受全膝关节置换术治疗的膝关节炎患者根据术后是否发生运动障碍分为两组,采用单因素分析和多因素Logistic回归分析探讨膝关节炎患者全膝关节置换术后发生运动障碍的危险因素.结果 运动障碍组的年龄>65 岁、术后VAS评分≥6 分、未行软组织平衡术、术后未及时进行康复训练占比均高于无运动障碍组(P<0.05).多因素Logistic回归分析显示,年龄＞65 岁、术后VAS评分≥6 分、未行软组织平衡术、术后未及时进行康复训练是膝关节炎患者全膝关节置换术后发生运动障碍的危险因素(OR＞1,P<0.05).结论 膝关节炎患者全膝关节置换术后运动障碍的发生与年龄＞65岁、术后VAS评分≥6分、未行软组织平衡术、术后未及时行康复训练关系密切.
Abstract
Objective To analyze the related risk factors for the occurrence of movement disorders after total knee arthroplasty in patients with knee osteoarthritis.Methods 125 patients with knee osteoarthritis who underwent total knee arthroplasty were divided into two groups based on whether they experienced movement disorders after surgery.Univariate analysis and multivariate Logistic regression analysis were used to explore the risk factors for the occurrence of movement disorders after total knee arthroplasty in patients with knee osteoarthritis.Results The proportions of age>65 years old,postoperative VAS score≥6 points,failure to undergo soft tissue balance surgery,and lack of timely rehabilitation training after surgery in the movement disorder group were higher than those in the non-movement disorder group(P<0.05).Multivariate Logistic regression analysis showed that age>65 years old,postoperative VAS score≥6 points,failure to undergo soft tissue balance surgery,and lack of timely rehabilitation training after surgery were the risk factors for the occurrence of movement disorders after total knee arthroplasty in patients with knee osteoarthritis(OR>1,P<0.05).Conclusions The occurrence of movement disorders after total knee arthroplasty in patients with knee osteoarthritis is closely related to age>65 years old,postoperative VAS score≥6 points,failure to undergo soft tissue balance surgery,and lack of timely rehabilitation training after surgery.
关键词
膝关节炎/全膝关节置换术/运动障碍/危险因素Key words
Knee osteoarthritis/Total knee arthroplasty/Movement disorders/Risk factor引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据