摘要
目的探讨关节置换治疗重度痛风性膝关节炎的临床效果。方法随机选取2014年6月—2018年6月该院收治的重度痛风性膝关节炎患者60例,依据手术术式将这些患者分为两组,即人工膝关节置换术组和膝关节表面置换术组,每组30例,统计分析两组患者的VAS评分、膝关节活动度、KSS评分、临床疗效。结果膝关节表面置换术组患者手术后的VAS评分、膝关节活动度、KSS评分分别为(2.4±0.5)分、(88.5±15.3)分、(82.5±11.5)分、(81.4±10.3)分;人工膝关节置换术组患者手术后的VAS评分、膝关节活动度、KSS评分分别为(4.5±0.4)分、(82.3±10.4)分、(62.1±10.4)分、(55.6±9.4)分。膝关节表面置换术组患者的VAS评分显著低于人工膝关节置换术组,差异有统计学意义(t=4.303,P<0.05),膝关节活动度、KSS临床评分、KSS功能评分均显著高于人工膝关节置换术组,差异有统计学意义(t=3.182,2.776,2.571,P<0.05),膝关节功能恢复的优良率90.0%(27/30)显著高于人工膝关节置换术组70.0%(21/30),差异有统计学意义(χ2=11.14,P<0.05)。结论膝关节表面置换术治疗重度痛风性膝关节炎的临床效果较人工膝关节置换术好,值得推广。
Objective To observe the clinical effect of joint replacement for severe gouty knee arthritis.Methods Sixty patients with severe gouty knee arthritis admitted to our hospital from June 2014 to June 2018 were randomly selected.The patients were divided into two groups according to the surgical procedure,namely the artificial knee joint replacement group and the knee joint surface replacement operation group,30 cases in each group,statistical analysis of VAS score,knee joint activity,KSS score,clinical efficacy was performed.Results The VAS score,knee joint activity and KSS scores of the knee joint replacement group were (2.4±0.5)points,(88.5±15.3)points,(82.5±11.5)points and (81.4±10.3)points,respectively.The VAS score,knee joint activity,and KSS scores of the patients in the artificial knee replacement group were(4.5±0.4)points,(82.3±10.4)points,(62.1±10.4)points,and (55.6±9.4)points,respectively.The VAS scores of the knee replacement group were significantly lower than those of the artificial knee replacement group,the different was statistically significant(t=4.303,P<0.05).The knee joint activity,KSS clinical score,and KSS function score were significantly higher than the artificial knee joint replacement group,the different was statistically significant(t=3.182,2.776,2.571,P<0.05),the excellent rate of knee function recovery was 90.0%(27/30),which was significantly higher than that of the artificial knee replacement group (70.0%,21/30),the different was statistically significant(χ^2=11.14,P<0.05).Conclusion The clinical effect of knee arthroplasty in the treatment of severe gouty knee arthritis is better than that of artificial knee arthroplasty.It is worthy of promotion.
作者
杨经慧
YANG Jing-hui(Department of Orthopaedics,Zhaotong Traditional Chinese Medicine Hospital,Zhaotong,Yunnan Province,657000 China)
出处
《中外医疗》
2019年第2期44-46,共3页
China & Foreign Medical Treatment
关键词
关节置换
重度痛风性膝关节炎
临床效果
Joint replacement
Severe gouty knee arthritis
Clinical effect
