全膝关节置换术对膝关节骨性关节炎患者生存质量的影响

The Effect of Total Knee Arthroplasty on the Quality of Life of Patients With Knee Osteoarthritis

目的分析全膝关节置换术(total knee Arthroplasty,TKA)在改善膝关节骨性关节炎(knee Osteoarthritis,KOA)患者生存质量中的作用价值。方法选取2019年7月—2020年7月在泰安市三甲医院住院及门诊收治的420例膝关节骨性关节炎患者作为研究对象,根据不同治疗方式将患者分为A组、B组、C组三组,各140例。A组实施TKA治疗,B组实施关节镜治疗,C组实施非手术治疗。对三组患者术后的生活质量评分进行分析比较。结果治疗前,三组患者生存质量评分差异无统计学意义(P>0.05);治疗后,A组患者生存质量评分明显高于B组、C组,差异有统计学意义(P<0.05)。结论在膝关节炎患者的治疗中应用全膝关节置换术,能够有效提高患者生存质量,建议在临床中应用。

Objective To analyze the value of total knee arthroplasty(TKA)in improving the quality of life of patients with knee osteoarthritis(KOA).Methods A total of 420 patients with knee osteoarthritis who attended the joint outpatient clinic and orthopedic hospitalization in Taian hospital from July 2019 to July 2020 were selected as the research object,and the patients were divided into three groups according to different treatment methods,140 cases in group A,group B and group C.Group A underwent arthroplasty,group B underwent arthroscopy,and group C underwent non-surgical treatment.Compare the quality of life scores of the three groups of patients.Results Before treatment,there was no significant difference in the quality of life scores of the three groups(P>0.05).After treatment,the quality of life scores of the patients in group A were significantly higher than those in groups B and C,and the difference was statistically significant(P<0.05).Conclusion The application of total knee arthroplasty in the treatment of patients with knee arthritis can effectively improve the quality of life of patients.It is recommended to apply it in clinical practice.