膝关节骨关节炎保守治疗近期疗效的影响因素
作者: |
1李涛,
1裴建祥,
1宋奇志
1 重庆市重钢总医院骨科,重庆 400081 |
通讯: |
李涛
Email: lt3918391@163.com |
DOI: | 10.3978/j.issn.2095-6959.2019.07.015 |
基金: | 重庆市卫生与计划生育委员会医学科研项目 (20142154)。 |
摘要
目的:分析膝关节骨性关节炎保守治疗后关节功能的影响因素。方法:纳入85例首诊为膝关节骨关节炎(osteoarthritis,OA)的患者,给予非甾体类消炎止痛药物治疗及健康教育干预,根据首诊后6个月随访的美国西部Ontario和McMaster大学骨关节炎(Western Ontario and McMaster Universities OA index,WOMAC OA)指数评分,将WOMAC评分<80作为恢复良好组,将WOMAC评分≥80作为恢复不良组。比较两组患者疾病分期、年龄、治疗前WOMAC评分、体重指数(body mass index,BMI)及健康教育评分资料;采用logistic多因素回归分析,分析影响膝关节OA保守治疗效果的各项因素。结果:最终83例患者完成研究,恢复良好组有50例(60.24%)患者,恢复不良组有33例(39.76%)患者。Logistic多因素回归分析显示年龄≥70岁、治疗前WOMAC≥100分是影响膝关节OA保守治疗效果的负面因素,而膝关节保护措施、膝关节运动评分及全身有氧运动是保护性因素(P<0.05)。结论:膝关节OA保守治疗效果较差与患者高龄、治疗前膝关节高WOMAC评分等有关,若患者能做好膝关节保护措施、膝关节运动/全身有氧运动,可更好地改善并维持患者的整体膝关节功能。
关键词:
骨关节炎;膝;影响因素;疼痛
Effect factors of conservative short-term therapeutic efficacy on knee osteoarthritis
CorrespondingAuthor: LI Tao Email: lt3918391@163.com
DOI: 10.3978/j.issn.2095-6959.2019.07.015
Foundation: This work was supported by the Medical Research Projects of Chongqing Health and Family Planning Commission, China (20142154).
Abstract
Objective: To analysis the influencing factors of conservative short-term therapeutic efficacy on osteoarthritis of the knee. Methods: There were 85 patients with first diagnosed osteoarthritis in this study. The patients were given non-steroidal anti-inflammatory drugs and health education. According to Western Ontario and McMaster Universities (WOMAC) OA index osteoarthritis index score after 6 months follow-up, the patients with WOMAC score <80 were considered as good recovery group, the patients with WOMAC score ≥80 were considered as bad recovery group. Then to compare the two groups patients’ disease staging (K-L grade), age, WOMAC score before treatment, body mass index (BMI) and health education evaluation data, using logistic regression analysis, to analyse the influencing factors of conservative short-term therapeutic efficacy on osseous gonarthritis. Results: A total of 83 patients finally completed the study, there were 50 patients (60.24%) in the good recovery group and 33 patients (39.76%) in the bad recovery group. Logistic multivariate regression analysis showed that age greater than 70 years old and WOMAC score greater than 100 points before treatment were negative factors on conservative short-term therapeutic efficacy on osseous gonarthritis, while knee joint protection measures, knee joint sports score and systemic aerobic exercise were protective factors (P<0.05). Conclusion: The poor therapeutic efficacy on knee OA is related to the patients’ elderly age and the high knee WOMAC score before treatment. If the patient can do well in knee joint protection measures, knee joint movement or systemic aerobic exercise, the overall knee joint function of the patient can be better improved and maintained.
Keywords:
osteoarthritis; knee; influence factor; pain