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关节置换手术年龄时机选择对老年膝关节退行性骨关节炎疗效的影响

乔良胜 焦尚起 王硕 顾红卫

疑难病杂志Issue(10):1019-1021,3.
疑难病杂志Issue(10):1019-1021,3.DOI:10.3969/j.issn.1671-6450.2014.10.009

关节置换手术年龄时机选择对老年膝关节退行性骨关节炎疗效的影响

Curative ef fect analysis of joint replacement op eration time s election in es nile degenerative osteoarthritis of knee joint

乔良胜 1焦尚起 1王硕 1顾红卫1

作者信息

  • 1. 300381 天津,解放军第四六四医院骨科
  • 折叠

摘要

Abstract

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 in-to 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 blee-ding 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 diffe-rence 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.

关键词

退行性骨关节炎/膝关节/关节置换/老年/年龄

Key words

Degenerative osteoarthritis/Knee joint/Joint replacement/Elderly/Age

引用本文复制引用

乔良胜,焦尚起,王硕,顾红卫..关节置换手术年龄时机选择对老年膝关节退行性骨关节炎疗效的影响[J].疑难病杂志,2014,(10):1019-1021,3.

疑难病杂志

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1671-6450

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