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刘 颖,杨少峰,陈丽霞.膝骨关节炎患者膝关节功能与生存质量的研究[J].中国康复医学杂志,2009,24(12):1092~1094
膝骨关节炎患者膝关节功能与生存质量的研究    点此下载全文
刘 颖  杨少峰  陈丽霞
中国医学科学院,中国协和医科大学,北京协和医院物理医学康复科,北京,100730
基金项目:
DOI:
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摘要:
      目的:探讨膝骨关节炎(OA)患者膝关节功能对生存质量(QOL)的影响。方法:选取膝OA患者40例,分别采用Lequesne指数,Lysholm膝关节评分量表(LKSS)、目测类比定级法(VAS)及量角器评定膝关节功能状况、疼痛程度和关节活动度(ROM)。采用关节炎影响测定量表(AIMS)评价患者的QOL。结果:女性膝OA患者的AIMS、Lequesne及VAS评分显著高于男性,LKSS评分显著低于男性(P<0.05)。膝OA患者AIMS评分与Lequesne指数、VAS评分及膝关节活动受限程度呈正相关,与LKSS评分呈负相关(P<0.05)。结论:女性OA患者的膝关节功能及QOL较男性差。膝关节疼痛、活动度减小及功能减退在一定程度上影响了OA患者的QOL,应通过健康教育和临床治疗改善膝关节功能,提高其QOL。
关键词:骨关节炎    生存质量  Lequesne指数  Lysholm膝关节评分量表  目测类比定级法
A study on function of knee and quality of life in patients with knee osteoarthritis    Download Fulltext
Department of Physical Medicine and Rehabilitation, Peking Union Medical College Hospital, Beijing, 100730
Fund Project:
Abstract:
      Objective: To investigate the effect of function of knee on quality of life(QOL) in patients with knee osteoarthritis(OA). Method: Forty patients with knee OA were recruited. Their function, pain and range of motion(ROM) of knee were assessed with Lequesne index, Lysholm knee score(LKSS), visual analogue scale(VAS) and protractor measure respectively. QOL was evaluated with arthritis impact measurement scale(AIMS). Result: The scores of AIMS, Lequesne and VAS in female were significantly higher than that in male. And the LKSS in female was significantly lower than that in male(P<0.05). There was a positive correlation between AIMS score and Lequesne index, VAS score and limit of ROM, but a negative correlation between AIMS and LKSS(P<0.05). Conclusion: The function of knee and QOL in female patients with OA were worse than that in male patients. Pain, limited ROM and weaken function in knee could effect QOL in OA patients to some extent. Health education and clinical treatment should be provided to improve the function of knee and QOL in OA patients.
Keywords:osteoarthritis  knee  quality of life  Lequesne index  Lysholm knee score  visual analogue scale
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