髋膝关节置换术后老年人的疼痛与整体健康状况：基于人群的视角

Pain and overall health status in older people with hip and knee replacement: a population perspective.

作者信息

Linsell Louise, Dawson Jill, Zondervan Krina, Rose Peter, Carr Andrew, Randall Tony, Fitzpatrick Ray

机构信息

Centre for Statistics in Medicine, Wolfson College Annexe, University of Oxford, Oxford OX2 6UD, UK.

出版信息

J Public Health (Oxf). 2006 Sep;28(3):267-73. doi: 10.1093/pubmed/fdl020. Epub 2006 Jun 29.

DOI:10.1093/pubmed/fdl020

PMID:16809792

Abstract

OBJECTIVE

To investigate the health-related quality of life and presence of hip or knee pain according to whether or not people had had previous hip or knee arthroplasty.

STUDY DESIGN AND SETTING

Cross-sectional survey representing randomly selected sample of 5500 elderly (65+) people. Pain prevalence rates obtained from standard screening questions. Standard pain severity ratings obtained for each hip and knee.

RESULTS

People with a past arthroplasty had worse health status compared to other people (p < 0.001 for all but two SF-36 dimensions). Hip or knee pain was more prevalent amongst people with past hip or knee replacement than amongst those without (62.5% versus 36.5% respectively; following adjustment for age and sex: Mantel-Haenszel combined odds ratio = 2.90, 95% CI 2.30-3.68, p < 0.001). More replaced knee joints were symptomatic than replaced hip joints (OR = 1.62, p = 0.022).

CONCLUSIONS

Elderly people with a past hip or knee arthroplasty have significantly greater health and social care needs than other people--especially those related to pain and mobility. This may reflect the generalised nature of the underlying disease process.

摘要

目的

根据人们既往是否接受过髋关节或膝关节置换术，调查其与健康相关的生活质量以及髋部或膝部疼痛情况。

研究设计与设置

横断面调查，代表从5500名65岁及以上老年人中随机抽取的样本。通过标准筛查问题获取疼痛患病率。对每个髋部和膝部进行标准疼痛严重程度评级。

结果

与其他人相比，既往接受过关节置换术的人的健康状况较差（除两个SF-36维度外，所有维度p<0.001）。既往接受过髋关节或膝关节置换的人比未接受过置换的人髋部或膝部疼痛更为普遍（分别为62.5%和36.5%；在对年龄和性别进行调整后：Mantel-Haenszel合并比值比=2.90，95%可信区间2.30-3.68，p<0.001）。置换后的膝关节出现症状的比髋关节更多（比值比=1.62，p=0.022）。