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髋关节和膝关节置换手术后的健康相关生活质量。

Health-Related Quality of Life after Hip and Knee Arthroplasty Operations.

机构信息

Department of Orthopaedics, Traumatology and Hand Surgery, Kuopio University Hospital, Kuopio, Finland.

Department of Development and Quality, Kuopio University Hospital, Kuopio, Finland.

出版信息

Scand J Surg. 2021 Sep;110(3):427-433. doi: 10.1177/1457496920952232. Epub 2020 Aug 31.

Abstract

BACKGROUND AND OBJECTIVE

The aim of this study was to investigate the health-related quality of life before and after a hip and a knee arthroplasty operation using a 15D instrument and to compare these scores to the Finnish control population 15D scores.

METHODS

The pre- and post-operative data of 15D were prospective collected from the patients undergoing total hip arthroplasty or total knee arthroplasty at the Kuopio University Hospital. Post-operative data were collected at 6 and 12 months after the operation.

RESULTS

The mean change of the 15D score after hip arthroplasty was +0.062 and after knee arthroplasty, it was +0.033 at the 12-month follow-up ( < 0.001). Total hip arthroplasty patients of all ages reached the control population 15D scores at the 12-month follow-up. Of the total knee arthroplasty patients, only patients aged >75 years and males aged 55-64 years did reach control population 15D scores at the 12-month follow-up. Patients experienced a statistically significant improvement in mobility, vision, sleeping, usual activities, discomfort and symptoms, distress, and vitality ( < 0.05).

CONCLUSIONS

Successful hip and knee arthroplasty operations improve patients' health-related quality of life. According to this study, hip arthroplasty improves the health-related quality of life more than knee arthroplasty.

摘要

背景与目的

本研究旨在使用 15D 工具评估髋关节和膝关节置换手术前后的健康相关生活质量,并将这些评分与芬兰对照人群的 15D 评分进行比较。

方法

在库奥皮奥大学医院接受全髋关节或全膝关节置换术的患者前瞻性地收集了 15D 的术前和术后数据。术后数据在术后 6 个月和 12 个月收集。

结果

髋关节置换术后 15D 评分的平均变化为+0.062,膝关节置换术后 12 个月时为+0.033( < 0.001)。所有年龄段的全髋关节置换术患者在 12 个月的随访时均达到了对照人群的 15D 评分。在全膝关节置换术患者中,只有年龄>75 岁的患者和 55-64 岁的男性患者在 12 个月的随访时达到了对照人群的 15D 评分。患者在移动能力、视力、睡眠、日常活动、不适和症状、痛苦和活力方面均有显著改善( < 0.05)。

结论

成功的髋关节和膝关节置换手术可改善患者的健康相关生活质量。根据本研究,髋关节置换术比膝关节置换术更能改善健康相关生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7b8/8551429/e8f071858d3e/10.1177_1457496920952232-fig1.jpg

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