Ritter M A, Albohm M J, Keating E M, Faris P M, Meding J B
Center for Hip and Knee Surgery, Mooresville, Indiana, USA.
J Arthroplasty. 1995 Dec;10(6):737-41. doi: 10.1016/s0883-5403(05)80068-3.
A prospective pre- and postoperative general health/quality-of-life factor comparison, using the Rand SF-36 Health Status Questionnaire (TyPE Specification, Quality Quest [Health Outcomes Institute, Minneapolis, MN]), was carried out on a consecutive series of patients with diagnosed osteoarthritis undergoing total hip and knee arthroplasty between March 1991 and March 1994. Study groups consisted of 85 total hip arthroplasty patients, 93 total knee arthroplasty patients, and 65 single-stage bilateral total knee arthroplasty patients, all treated at the same specialty hospital, under the care of three senior orthopaedic surgeons. The average patient age was 69 years. Significant improvements in quality-of-life measures including physical functioning, social functioning, role functioning/physical problem, role functioning/emotional problem, mental health, energy/fatigue, pain, and change in health were noted in all hip and knee arthroplasty patients 6 months, 1 year, and 2 years after surgery (P < .05). There appeared to be no significant differences in quality-of-life measures between hip and knee arthroplasty patients. Results therefore indicate that total hip and knee arthroplasty significantly improve the functional status and quality of life among patients suffering from osteoarthritis.
1991年3月至1994年3月期间，对一系列连续诊断为骨关节炎并接受全髋关节和膝关节置换术的患者，使用兰德36项健康调查简表（类型规范，质量探索[健康结果研究所，明尼阿波利斯，明尼苏达州]）进行了前瞻性术前和术后总体健康/生活质量因素比较。研究组包括85例全髋关节置换术患者、93例全膝关节置换术患者和65例一期双侧全膝关节置换术患者，所有患者均在同一家专科医院接受治疗，由三位资深骨科医生负责护理。患者平均年龄为69岁。在所有髋关节和膝关节置换术患者术后6个月、1年和2年时，生活质量指标包括身体功能、社会功能、角色功能/身体问题、角色功能/情感问题、心理健康、精力/疲劳、疼痛以及健康变化等方面均有显著改善（P<0.05）。髋关节和膝关节置换术患者在生活质量指标方面似乎没有显著差异。因此，结果表明全髋关节和膝关节置换术能显著改善骨关节炎患者的功能状态和生活质量。
