van Essen G J, Chipchase L S, O'Connor D, Krishnan J
Department of Orthopaedic Surgery, Flinders University and Medical Centre, Bedford Park, SA, Australia.
J Qual Clin Pract. 1998 Jun;18(2):135-42.
This study evaluated the short-term outcome of primary total knee replacement, using standard and reliable outcome measures, for osteoarthritis in an Australian population. This study also compared the pre-operative health status of the patient population with population norms using a quality of life questionnaire. Using the medical outcome study (MOS) 36-item short form health survey (SF-36), there was a statistically significant improvement in physical functioning and bodily pain in males and bodily pain, vitality, role-emotional and mental health in females (P < 0.05). A statistically significant improvement was also seen in Knee Society Scores following surgery for both males and females (P < 0.05). Comparison of pre-operative SF-36 data to age-matched Australian normative values demonstrate that female patients requiring total knee replacement were significantly below the norms in virtually all health dimensions while males were significantly below the norms in mainly physical health dimensions (P < 0.01).
本研究采用标准且可靠的疗效指标，评估了澳大利亚人群中骨关节炎患者进行初次全膝关节置换术的短期疗效。本研究还使用生活质量问卷，将患者人群的术前健康状况与人群标准进行了比较。使用医学结局研究（MOS）36项简短健康调查（SF-36），男性的身体功能和身体疼痛以及女性的身体疼痛、活力、角色情感和心理健康有统计学上的显著改善（P < 0.05）。男性和女性术后的膝关节协会评分也有统计学上的显著改善（P < 0.05）。将术前SF-36数据与年龄匹配的澳大利亚标准值进行比较表明，需要进行全膝关节置换术的女性患者在几乎所有健康维度上均显著低于标准值，而男性主要在身体健康维度上显著低于标准值（P < 0.01）。
