术前活动能力与TKA患者术后膝前痛的相关性

摘要/Abstract

摘要： 目的：探讨术前活动能力与全膝关节置换术（TKA）患者术后膝前痛的相关性。方法：选取2017年1月至2019 年1月于我院行TKA的患者107例，术后随访1年，根据术后是否发生膝前痛分为疼痛组和非疼痛组，对比两组患者一般资料、术前活动能力及手术相关指标的差异，并行多因素Logistic回归分析。结果：随访过程中有1例失访，剩余106例中有27例术后出现膝前痛列为疼痛组，其余79例术后未出现膝前痛列为非疼痛组，术后膝前痛发生率为25.47%（27/106）；两组患者身体质量指数（BMI）、爬楼梯测试（SCT）结果、6 min步行测试（6MWT）结果、计时起身行走测试（TUG）结果、股四头肌肌力、Carton指数、Q角差异均有统计学意义（P<0.05）；多因素Logistic回归分析结果显示，TUG结果（OR=1.246，P＜0.05）、6MWT结果（OR=0.971，P＜0.05）、股四头肌肌力（OR=0.182，P＜0.05）、Carton指数（OR=0.378，P＜0.05）、Q角（OR=4.721，P＜0.05）是TKA术后膝前痛的影响因素。结论：术前活动能力下降、股四头肌肌力下降、Carton指数减小及Q角增大是TKA术后膝前痛的危险因素。对于合并危险因素的患者应积极监测，预防术后膝前痛发生。

关键词: font-size:medium, ">全膝关节置换术；术前；活动能力；膝前痛

Abstract: Objective： To analysis the correlation between preoperative mobility and anterior knee pain after total knee arthroplasty (TKA). Methods： A total of 107 patients who underwent TKA in our hospital from January 2017 to January 2019 were selected and followed up for 1 year after operation. They were divided into the pain group and the non-pain group according to whether anterior knee pain occurred after surgery. The differences between the general data， preoperative activity ability and surgical related indexes between the two groups of patients were compared. Multivariate Logistic regression analysis was performed to determine the independent influencing factors of anterior knee pain. Results： During follow-up， 1 cases was lost to follow-up. Among the remaining 106 cases， 27 cases with anterior knee pain after TKA were classified as the pain group， and the remaining 79 cases who without anterior knee pain after TKA were classified as the non-pain group. The occurrence rate of anterior knee pain after TKA was 25.47% (27/106). There was statistical difference between the two groups in BMI， SCT result， 6MWT result， TUG result， quadriceps muscle strength， Carton index and Q angle (P<0.05). Multivariate Logistic regression analysis showed that TUG result(OR=1.246， P<0.05)， 6MWT result(OR=0.971， P<0.05)， quadriceps muscle strength (OR=0.182， P<0.05)， Carton index (OR =0.378， P<0.05) and Q angle (OR=4.721， P<0.05) were the influencing factors of anterior knee pain after TKA. Conclusion： Decreased preoperative mobility， decreased quadriceps muscle strength， reduced Carton index and increased Q angle are risk factors to anterior knee pain after TKA. The patients with risk factors should be actively monitored to prevent the occurrence of postoperative anterior knee pain.

Key words: font-size:medium, ">Total knee arthroplasty； Preoperative； Mobility； Anterior knee pain

中图分类号:

杨帆, 弋石泉, 尹乾兵. 术前活动能力与TKA患者术后膝前痛的相关性[J]. 中国医药导刊, 2021, 23(6): 419-423.

YANG Fan, YI Shiquan, YIN Qianbing. Correlation Analysis of Preoperative Mobility and Anterior Knee Pain after TKA[J]. CHINESE JOURNAL OF MEDICINAL GUIDE, 2021, 23(6): 419-423.

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