中国组织工程研究

中国组织工程研究 ›› 2013, Vol. 17 ›› Issue (35): 6228-6233.doi: 10.3969/j.issn.2095-4344.2013.35.002

• 人工假体 artificial prosthesis • 上一篇    下一篇

全膝关节表面置换围术期北京协和医院膝关节功能评分量表的拟合优度分析

贾海英，陆  明，王晓平，郑  蕊，张  敬，马华松   

  1. 解放军第306医院体检中心，北京市  100101
  • 收稿日期:2012-10-03 修回日期:2012-10-24 出版日期:2013-08-27 发布日期:2013-08-27
  • 通讯作者: 马华松，主任医师，硕士研究生导师，解放军总装备部(306医院)骨科，北京市 100101 luming8788@yahoo.com.cn
  • 作者简介:贾海英★，女，1975年生，河北省邢台市人，汉族，2004年解放军第三军医大学毕业，硕士，主要从事预防医学、老年医学、健康管理方面的研究。 luming8788@yahoo.com.cn

Total knee arthroplasty: Goodness-of-fit analysis of intraoperative knee society score of Peking Union Medical College

Jia Hai-ying, Lu Ming, Wang Xiao-ping, Zheng Rui, Zhang Jing, Ma Hua-song   

  1. Medical Examination Center, the 306th Hospital of PLA, Beijing  100101, China
  • Received:2012-10-03 Revised:2012-10-24 Online:2013-08-27 Published:2013-08-27
  • Contact: Ma Hua-song, Chief physician, Master’s supervisor, Medical Examination Center, the 306th Hospital of PLA, Beijing 100101, China luming8788@yahoo.com.cn
  • About author:Jia Hai-ying★, Master, Medical Examination Center, the 306th Hospital of PLA, Beijing 100101, China luming8788@yahoo.com.cn

PDF

474

被引次数

27

摘要：

背景：北京协和医院膝关节功能评分量表在解放军第306医院推广应用2年，积累了一些临床数据。
目的：通过分析证实北京协和医院膝关节功能评分量表的稳定性及适合临床医疗实践的可能性。
方法：纳入膝关节骨关节炎患者55例，患者分为治疗前组、治疗后随访3个月组和随访6个月组3个时间段进行观察。将应用该量表所获得的测量结果与西部安大略麦克马斯特大学骨关节炎指数(WOMAC)、疼痛目测类比评分、美国特种外科医院评分(HSS评分)相比较，应用结构方程模型对该膝关节功能评估量表进行拟合优度分析。
结果与结论：量表对骨关节炎患者症状和体征的评分结果与患者关节炎疼痛目测类比评分中疼痛程度呈正相关关系；随访6个月时患者总体经该量表评分较治疗前有明显改善。随访3，6个月患者评分均明显高于治疗前，其结果与HSS评分相当。该量表评分在治疗后3，6个月时患者总体评估均Ⅰ级以上改善，疼痛目测类比评分下降超过30%。在WOMAC疼痛评估项及生理功能评估项中，随访6个月时显著优于治疗前(P < 0.05)；随访3个月时与疼痛目测类比评分比较，差异有显著性意义的与相关疼痛程度减轻相关；且伴有功能和关节僵硬的评分显著改善。北京协和医院膝关节功能评分量表最终获得4个维度22个评估项目，拟和优度分析证明，该量表的拟和优度良好，具有科学性和使用价值。

关键词: 骨关节植入物, 人工假体, 人工全膝关节, 表面置换, 膝骨关节炎, 膝关节功能评分, 随访, 拟合优度, 目测类比评分

Abstract:

BACKGROUND: Knee society score of Peking Union Medical College has been promoted and used in the 306th Hospital of PLA for 2 years and we have accumulated some clinical data.
OBJECTIVE: To analyze the stability and feasibility for suitable clinical medical practice of knee society score of Peking Union Medical College. 
METHODS: Fifty-five patients with osteoarthritis of the knee were included, and the patients were divided into three groups: the preoperative group; 3 months postoperative follow-up group; 6 months postoperative follow-up group. The measurement results obtained by the application of the scale were compared to those of the Western Ontario and McMaster Universityies Ostroarthritis Index, visual analog scale, and hospital for special surgery score, and then knee society score goodness-of-fit analysis was performed based on the structural equation model.
RESULTS AND CONCLUSION: Knee society score performance assessment of the signs and symptoms of osteoarthritis of the knee patients was positively correlated with the pain severity of visual analog scale score; the overall knee society score of the patients after 6-month follow-up was significantly improved compared with that before treatment. The knee society score after 3- and 6- month follow-up was significantly higher than that before treatment, and the score was quite with the hospital for special surgery score. The overall assessment of the knee society score after treated for 3 and 6 months was improved for more than grade Ⅰ, the visual analog scale score was decreased for more than 30%. The pain assessment items and physiological functional assessment items of Western Ontario and McMaster Universityies Ostroarthritis Index after 6-month follow-up were significantly better than those before treatment (P < 0.05); the visual analog scale score was poor after 3-month follow-up, and there was significant difference in visual analog scale score before and after treatment which was related with the pain level; the score accompanied by function and joint stiffness was significantly improved. The knee society score of Peking Union Medical College obtained four dimensions of 22 assessment projects, and the goodness-of-fit analysis showed that the scale had good goodness which had scientific nature and application value.

Key words: bone and joint implants, artificial knee joint, surface replacement, knee osteoarthritis, knee function score, followed-up, goodness-of-fit, visual analogue scale score

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