摘要
目的 探讨手术年龄对行关节置换术的老年膝关节退行性骨关节炎疗效的影响。方法 选择128例老年膝关节退行性骨关节炎患者,根据年龄将其分为2组,即60~70岁为Ⅰ组78例,71~80岁为Ⅱ组50例。观察术后2组患者骨关节炎指数评分（WOMAC）、简易精神状态检查评分（mMMSE）、生存质量信度评分（SF-12）以及日常生活能力评分（ADL）改善情况,记录2组患者手术时间及术中出血量,以及随访评价疼痛控制情况。结果 与Ⅱ组比较,Ⅰ组WOMAC、mMMSE评分降低明显,手术时间及术中出血量较少[（72.6±10.0）分vs.（78.7±11.3）分、（11.3±2.0）分vs.（12.8±2.1）分、（132±21）min vs.（158±23）min、（268±131）ml vs.（353±145）ml],差异均有统计学意义（P〈0.01）,而SF-12、ADL评分差异无统计学意义（P〉0.05）;随访中发现,2组手术并发症、疼痛各级评定比较差异无统计学意义（P〉0.05）。结论 老年膝关节退行性骨关节炎患者行关节置换手术的最佳时机为60~70岁。
Objective To investigate the effect of age on the operation of joint replacement in elderly patients with knee osteoarthritis .Methods Selected 128 cases of senile knee osteoarthritis patients , according to age , they were divided into 2 groups, 60-70 years old of 78 cases in group I, 71-80 years old of 50 cases in group II.Observed 2 groups of patients’ bone arthritis index （WOMAC）, Mini Mental State Examination （mMMSE） score, quality of life reliability score （SF-12） and activity of daily living score （ ADL） to improve the situation , recorded 2 groups of patients with operation time and bleeding amount and intraoperative , follow-up evaluation of pain control .Results Compared with group II , WOMAC, mMMSE score decreased significantly in group I, operation time and bleeding volume were less [（72.6 ±10.1） vs.（78.7 ±11.3）, （11.3 ±2.0） vs.（12.8 ±2.1）, （132 ±21） min vs.（158 ±23） min, （268 ±131） ml vs.（353 ±145） ml], the difference was statistically significant （ P 〈0.01）, but no statistical significance of SF-12 and ADL score （ P 〉0.05）; during follow-up, operation complications and pain levels assessment revealed no statistical significance differences between the 2 groups （ P 〉0.05）.Conclusion The best time of elderly knee osteoarthritis arthroplasty operation is 60-70 years old.
出处
《疑难病杂志》
CAS
2014年第10期1019-1021,共3页
Chinese Journal of Difficult and Complicated Cases
关键词
退行性骨关节炎
膝关节
关节置换
老年
年龄
Degenerative osteoarthritis
Knee joint
Joint replacement
Elderly
Age
