多重线性回归分析自身因素对全膝关节置换术后疗效的影响Multiple linear regression analysis of the patient-correlation factors influencing clinical outcomes after total knee arthroplasty
朱从亚;周海斌;董启榕;徐又佳;徐炜;
摘要(Abstract):
[目的]探讨全膝关节置换术后疗效及自身相关因素对疗效的影响。[方法]采用HSS评分系统对109例(138膝)行全膝关节置换手术的患者术前、术后评分,并计算各要素的改善率;应用多重线性回归对术后HSS评分与患者自身有关的因素进行统计分析。[结果]通过对109例(138膝)患者24~117个月(平均59.7个月)的随访和统计分析示:术后HSS各要素评分均较术前有明显提高,有统计学意义(P<0.05)。整体优良率95.7%。多重线性回归分析示:术前HSS评分、病因对术后HSS评分有显著影响(P<0.05),标准偏回归系数分别为0.50461、0.45655,而年龄、性别、体重指数对术后评分无影响(P>0.05)。[结论]全膝关节置换术是治疗重症膝关节炎的理想、有效的手术方法;术前患侧膝关节功能状况、病因对术后疗效有显著的影响。
关键词(KeyWords): 全膝关节置换术;疗效评定;影响因素;多重线性回归
基金项目(Foundation):
作者(Author): 朱从亚;周海斌;董启榕;徐又佳;徐炜;
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参考文献(References):
- [1]吕厚山.人工膝关节置换术的进展和现状[J].中华外科杂志,2004,1:30-33.
- [2]卢世璧,王继芳,王岩,等.关节置换术[M]∥卢世璧.坎贝尔骨科手术学.10版.济南:山东科学技术出版社,2005:257-258.
- [3]高辉,吕厚山.肥胖病人全膝关节表面置换术后疗效观察[J].中国矫形外科杂志,2005,18:1369-1372.
- [4]Dawson J,Fitzpatrick R,Murray D,et al.Questionnaire on the percep-tions of patients about total knee replacement[J].J Bone Joint SurgBr,1998,80:63-69.
- [5]National Institute of Health.NIHconsensus development conference ontotal knee replacement[R/OL].[2003-12-08]http://consensus.nih.gov/2003/2003TotalKneeReplacement117main.htm.
- [6]Kaper B,Woolfrey M,Bourne RB.The effect of built-in external femo-ral rotation on patellofemoral tracking and complications following totalknee arthroplasty[J].Arthroplasty,2000,15:964-969.
- [7]Kotani A,Yonekura A,Bourne RB.Factors influencing range of motionafter contemporary total knee arthroplasty[J].Arthroplasty,2005,20:850-856.
- [8]Booth RE JR.The gender-specific(female)knee[J].Orthopedics,2006,29:768-769.
- [9]Kotani A,Yonekura A,Bourne RB.Factors influencing range of motionafter contemporary total knee arthroplasty[J].Arthroplasty,2005,20:850-856.
- [10]Ethgen O,Bruyere O,Richy F,et al.Health related quality of life intotal hip and total knee arthroplasty.A qualitative and systematic re-view of the literature[J].Bone Joint Surg Am,2004,86:963-974.
- [11]Fortin PR,Clarke AE,Joseph L,et al.Outcomes of total hip and kneereplacement.Preoperative functional status predicts outcomes at sixmonths after surgery[J].Arthritis Rheum,1999,42:1722-1728.
- [12]Lim JT,Luscombe KL,Jones PW,et al.The effect of preoperativesymptom severity on functional outcome of total knee replacement 22patients with the lowest preoperative scores achieve the lowest marks[J].Knee,2006,3:216-219.
- [13]Robert BB,Richard WM,Steven JM,et al.Influence of patient factorson TKA outcomes at 5 to 11 years Follow up[J].Clin Orthop,2007,464:27-31.