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Open Access Article

International Journal of Surgical Research. 2022; 5: (2) ; 11-13 ; DOI: 10.12208/j.ijsr.20220043.

Clinical study on the effect of anti osteoporosis treatment on total knee arthroplastyin patients with knee osteoarthritis
膝关节骨性关节炎患者抗骨质疏松治疗对全膝关节置换术后效果影响的临床研究

作者: 卢振纲 *, 唐国能, 韦有万, 蒋永益

广西钦州市第二人民医院 广西钦州

*通讯作者: 卢振纲,单位:广西钦州市第二人民医院 广西钦州;

发布时间: 2022-08-12 总浏览量: 360

摘要

目的 分析膝关节骨性关节炎患者在选择全膝关节置换术治疗前,给予抗骨质疏松治疗的价值。方法 筛选80例膝关节骨性关节炎患者为样本,样本均选自2021年3月~2022年3月,作随机分组处理后按照1:1的比例分组,对照组共计40例不实施抗骨质疏松治疗,观察组共计40例术前6个月展开抗骨质疏松治疗,对比2组临床疗效、临床指标、骨密度。结果 观察组临床疗效(95.00%)测评值,较对照组(80.00%)明显升高(P<0.05);观察组VAS评分低于对照组,HSS评分高于对照组(P<0.05);观察组骨密度含量,较对照组升高(P<0.05)。结论 膝关节骨性关节炎患者在实施全膝关节置换术前,进行为期6个月的抗骨质疏松治疗可提升整体疗效及骨密度,同时可改善机体关节功能,值得借鉴。

关键词: 膝关节骨性关节炎;抗骨质疏松;全膝关节置换术;骨密度;临床疗效

Abstract

Objective to analyze the value of anti osteoporosis treatment in patients with knee osteoarthritis before total knee arthroplasty.
Methods 80 patients of knee OA were screened as samples, all selected from March 2021 to March 2022. They were randomly divided into groups according to the ratio of 1:1. A total of 40 patients in the control group were not treated with anti osteoporosis treatment, and a total of 40 patients in the observation group were treated with anti osteoporosis treatment 6 months before operation. The clinical efficacy, clinical indicators and bone mineral density of the two groups were compared.
Results the evaluation value of clinical efficacy (95.00%) in the observation group was significantly higher than that in the control group (80.00%) (P<0.05); The VAS score of the observation group was lower than that of the control group, and the HSS score was higher than that of the control group (P<0.05); The content of bone mineral density in the observation group was higher than that in the control group (P<0.05).
Conclusion   before total knee arthroplasty, anti osteoporosis treatment for 6 months in patients with knee osteoarthritis can improve the overall curative effect and bone mineral density, and improve the body joint function, which is worthy of reference.

Key words: knee osteoarthritis; Anti osteoporosis; Total knee arthroplasty; Bone mineral density; Clinical efficacy

参考文献 References

[1] 纪京博,赵忠全,刘磊,等.仙灵骨葆联合抗骨质疏松治疗对人工髋关节置换术后患者临床疗效及假体生存率的影响[J].湖北中医药大学学报,2022,24(02):88-90. 

[2] 郭珀宏,刘日新,刘万新,等.全膝关节置换术治疗膝骨性关节炎患者骨质疏松程度的分析[J].内蒙古医学杂志,2022,54(02):219-221.

[3] 孙君然.骨质疏松性胸腰椎压缩性骨折经皮椎体成形术联合抗骨质疏松治疗的临床价值研究[J].河南外科学杂志,2021,27(04):143-144.

[4] 李宇. 电脑中频药透联合蠲痹汤治疗风寒湿痹型膝关节骨性关节炎的疗效观察[D].天津中医药大学,2021.

[5] 邱伟,连星烨.唑来膦酸干预老年骨质疏松性股骨转子间骨折髋关节置换后患者骨密度、骨代谢标志物的2年随访[J].中国组织工程研究,2021,25(33):5265-5272. 

[6] 罗薇. 双膦酸盐抗骨质疏松治疗对骨质疏松患者糖代谢及2型糖尿病发病率影响的临床研究[D].西南医科大学,2021.

[7] 孙利锋, 骨关节炎和类风湿关节炎关节置换术联合中西医结合抗骨质疏松治疗的临床研究. 河北省,秦皇岛市海港医院,2021-05-01. 

[8] 高凡,林绪超,詹洋,等.强骨宝1号方联合常规抗骨质疏松治疗对全髋关节置换术后女性患者股骨侧假体周围骨密度的影响[J].福建中医药,2021,52(04):4-7.

[9] 王淞,辛杰,李晓静.固力康联合钙尔奇D600对老年骨质疏松合并股骨粗隆间骨折内固定术后抗骨质疏松治疗的疗效评价[J].吉林医学,2021,42(01):56-58. 

[10] 杨卫可,贾瑞平,王明晶,等.抗骨质疏松治疗对膝关节骨性关节炎患者全膝关节置换术后临床疗效的影响[J].新乡医学院学报,2020,37(12):1147-1151.

引用本文

卢振纲, 唐国能, 韦有万, 蒋永益, 膝关节骨性关节炎患者抗骨质疏松治疗对全膝关节置换术后效果影响的临床研究[J]. 国际外科研究杂志, 2022; 5: (2) : 11-13.