全膝关节置换术对膝骨关节炎患者的近期疗效

Effect of total knee replacement on HSS, VAS and SAS scores of patients with knee osteoarthritis

摘要:

目的 比较2种治疗方法对膝骨关节炎患者膝关节功能的改善效果。方法 选取2016年1月— 2018年1月天津医科大学总医院滨海医院收治的膝骨关节炎患者116例为研究对象。按随机抽签法将其分为观察组和对照组。对照组予以关节镜下清除术治疗，观察组予以全膝关节置换术治疗。对所有患者进行为期6个月的随访。比较两组手术前后患者膝关节功能评分（HSS）、视觉模拟法（VAS）、焦虑自评量表（SAS）评分变化情况，疗效以及生活质量情况。结果 观察组优良率[91.38%（53/58）]较对照组[72.41%（42/58）]高（P?<0.05）。观察组HSS评分比对照组高（P?<0.05），而VAS、SAS评分比对照组低（P?<0.05）。术后观察组各项SF-36量表评分均比对照组高（P?<0.05）。结论 全膝关节置换术应用于符合适应证的膝骨关节炎患者中的效果显著，有利于改善患者膝关节功能，减轻疼痛，改善焦虑情绪，且有效提高生活质量，值得临床推广应用。

Abstract:

Objective To investigate the effect of total knee arthroplasty on knee joint function score (HSS), visual simulation score (VAS) and anxiety self-rating scale (SAS) score in patients with knee osteoarthritis. Methods From January 2016 to January 2018, 116 patients with knee osteoarthritis who were admitted to our hospital were selected as the study objects. They were divided into observation group and control group by random draw. The control group was treated with arthroscopic removal and the observation group was treated with total knee arthroplasty. All patients were followed up for 6 months. HSS, VAS and SAS scores, efficacy and quality of life of the two groups were compared before and after surgery. Results The excellent and good rate in the observation group was 91.38% (53/58), which was higher than 72.41% (42/58) in the control group (P?