人工膝关节置换术治疗类风湿关节炎的临床效果分析

Analysis on the Clinical Effect of Artificial Knee Joint Replacement in the Treatment of Rheumatoid Arthritis

目的 分析人工膝关节置换术治疗类风湿关节炎的临床效果。方法 60例类风湿关节炎患者随机分为两组,对照组采用关节镜下滑膜切除术治疗,观察组采用人工膝关节置换术治疗,比较两组的膝关节状态、疼痛程度、生活质量、全膝关节畸形率。结果 治疗后,观察组的膝关节活动度评分和功能评分均高于对照组,VAS评分低于对照组,SF-36评分高于对照组(P<0.05)。治疗后,观察组的全膝关节冠状面畸形率与全膝关节矢状面畸形率均低于对照组(P<0.05)。结论 人工膝关节置换术治疗类风湿关节炎可有效提高患者的膝关节活动度,降低疼痛程度,改善生活质量与预后。

Objective To analyze the clinical effect of artificial knee joint replacement in the treatment of rheumatoid arthritis(RA).Methods 60 patients with RA were randomly divided into two groups.The control group was treated with arthroscopic synovectomy,and the observation group was treated with artificial knee joint replacement.The knee joint status,pain degree,quality of life and total knee deformity rates were compared between the two groups.Results After treatment,the activity score and function score of knee joint in the observation group were higher than those in the control group,the VAS score was lower than that in the control group,and the SF-36 score was higher than that in the control group(P<0.05).After treatment,the total knee coronal deformity rate and total knee sagittal deformity rate in the observation group were lower than those in the control group(P<0.05).Conclusions Artificial knee joint replacement in the treatment of RA can effectively improve patients'knee joint mobility,reduce pain degree,and improve the quality of life and prognosis.