疼痛灾难化对膝关节置换术后疗效的影响

被引：34

作者：

王春生

杨佩

张子琦

李有平

王坤正

机构：

[1] 西安交通大学医学院第二附属医院骨一科

来源：

中华关节外科杂志(电子版) | 2014年 / 8卷 / 06期

关键词：

关节成形术,置换,膝; 疼痛灾难化;

D O I：

暂无

中图分类号：

R687.4 [关节手术];

学科分类号：

100220 [骨科学];

摘要：

目的分析疼痛灾难化对全膝关节置换(TKA)术后疗效的影响。方法对连续77例因骨关节炎(OA)行TKA术的患者进行分析。术前进行美国特种外科医院膝关节评分系统(HSS评分)及疼痛灾难化量表(PCS)评分检查。术后1年时,进行HSS评分检查及慢性疼痛分析。对术前HSS评分和术前PCS评分,术前HSS和术后HSS评分,术前PCS评分和术后HSS评分进行线性相关检验,对存在慢性疼痛和不存在慢性疼痛的患者进行非配对t检验。结果患者术前HSS评分与术前PCS评分存在中度负相关关系(r=-0.6939,P<0.01)。患者术前HSS评分与术后HSS评分存在高度正相关关系(r=0.8132,P<0.01)。患者术前PCS评分与术后HSS评分存在中度负相关关系(r=-0.7143,P<0.01)。术后1年发生慢性疼痛患者8例,无慢性疼痛患者66例。术后慢性疼痛患者与无术后慢性疼痛患者的术前HSS评分(t=2.029,P<0.05)和术前PCS评分(t=6.215,P<0.01),存在统计学差异。结论拟行TKA的换患者存在明显的疼痛灾难化现象,并会对术后慢性疼痛的及关节功能产生影响。

引用

页码：698 / 701

页数：4

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