局解手术学杂志2016，Vol.25Issue(8)：585-588,4.DOI:10.11659/jjssx.10E015112
关节镜治疗膝骨关节炎疗效影响因素的回归分析
Regression analysis of factors affecting efficacy of arthroscopic treatment for knee osteoarthritis
摘要
Abstract
Objective To investigate the factors that affecting the efficacy of arthroscopic debridement in the treatment of knee osteoar-thritis. Methods The clinical data of patients with knee osteoarthritis treated with arthroscopic debridement in our hospital from January 2009 to December 2013 was retrospectively analyzed,and the treatment effect was evaluated by Lysholm score. The factors that may affect the efficacy were selected to make a single factor analysis,and then made a multiple logistic regression analysis with the factors which were of sta-tistical significance through single factor analysis. Results Single factor analysis showed that age,course of disease,body mass index,psycho-logical factor,preoperative VAS score,preoperative Kellgren-Lawrence grade,preoperative Lysholm score and postoperative rehabilitation exer-cise were the factors that affected the efficacy of knee arthroscopy in the treatment of knee osteoarthritis,and the difference between the two groups was statistically significant. Further multivariate analysis showed that high body mass index,high preoperative VAS pain score,low Ly-sholm score,high psychological expectations and high preoperative Kellgren-Lawrence grading were expected to be the independent risk fac-tors of knee arthroscopy in the treatment of knee osteoarthritis. Strict compliance with the postoperative rehabilitation exercise was the protect factor. Conclusion High body mass index,high preoperative VAS pain score,low preoperative Lysholm score,high preoperative Kellgren-Lawrence grading,and high psychological expectations were expected to reduce the effect of surgery,while strict compliance with the postoper-ative rehabilitation exercise can improve the curative effect.关键词
膝关节骨性关节炎/关节镜清理术/影响因素/Logistic回归分析Key words
knee osteoarthritis/arthroscopic debridement/influencing factors/logistic regression analysis分类
医药卫生引用本文复制引用
申晓坤,李发祥,王维山,史晨辉..关节镜治疗膝骨关节炎疗效影响因素的回归分析[J].局解手术学杂志,2016,25(8):585-588,4.基金项目
国家自然科学基金(81160225,81260453,81360451) （81160225,81260453,81360451）
新疆兵团医药卫生专项资助(2013BA020) （2013BA020）
兵团国际交流与合作专项资助(2012BC002,2011BC004) （2012BC002,2011BC004）
兵团科技创新团队专项基金(2014CC002) （2014CC002）
