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1、手术和非手术治疗在老年膝骨性关节炎患者中的临床应用比较［摘要］目的探讨手术和非手术方法在治疗膝骨性关节炎的疗效差异。方法随机选取2011年1月一2014年1月该院骨科收治的膝骨性关节炎患者120例，随机分为手术组和非手术组，每组60例。手术组均采用关节镜下的微创手术治疗，非手术组采用饮食、功能锻炼、药物、针灸等非手术治疗，观察治疗前及治疗后1月两组患者在症状及生活质量改善的差异。结果对于年龄大于73岁高龄患者以及轻度及卜II级的0A患者，非手术治疗在症状改善以及患者满意度方面，均高于手术治疗的患者，两者差异有统计学
2、意义(P0.05)。结论对于老年膝骨性关节炎患者，应根据0A的不同分期以及患者的个体情况，选择不同的治疗方式。［关键词］膝骨性关节炎；VAS评分;W0MAC指数；HSS评分；SF-12评分；老年［中图分类号］R284［文献标识码］A［文章编号］1674-0742(2015)08(b)-0064-02［Abstract.］ObjectiveToobservethedifferenceofeffectbetweenoperativeandnon-operativetreatmentforkneeosteoarthrit
3、is・Methods120elderlypatientswithkneeosteoarthritis(OA)werecollectedfromJanuary2011toJanuary2014inmydepartment,andwererandomlydividedintooperationgroup(60cases)andnon-operationgroup(60cases)•Intheoperationgroupallpatientsweretreatedwitharthroscopicsurgery,while
4、inthenon-operationgrouptheyreceiveddiettherapy,kinesitherapy,pharmacotherapy,acupuncture且ndmoxibustiontherapy,naturopathyandothernon-operativetreatment.VASscore,WOMACindex,IISSscoreandSFT2scorewereappliedtoobservethedifferencesintheimprovementofsymptomsandqual
5、ityoflifebetweenthetwogroups.ResultsAftertreatment,forthepatientswhowereolderthan73yearswerewithmild0AandwereingradeI~IIaccordingtoX-ray,non-operativetreatmentwassuperiortooperativetreatmentintheimprovementofsymptomsandpatients，satisfaction,andthedifferenceswe
6、restatisticallysignificant；whilefortheelderlypatientswhowerewithmoderateorsever0A,且ndwereingradeHT~TV,operativetreatmentwassuperiortonon-operativetreatmentintheimprovementofsymptomsandpatients'satisfaction,butthedifferenceswerenotsta/tisticallysignificant,卩＞0.
7、05.ConclusionFortheelderlypatientswithkneeosteoarthritis,weshouldchooseappropriatetreatmentmethodsaccordingtodifferentstagingandindividualsituationofthepatients・[Keywords]Kneeosteoarthritis；VASscore；WOMACindex；IISSscore；SF-12scores；Elderly膝骨性关节炎(osteoarthritis
8、,0A)是一种以关节软骨变性、破坏及骨质增生为特征的慢性关节病，0A临床上是以步行时膝关节疼痛、晨僵、上下楼怵I难，膝不稳、骨擦音、膝挛缩、患膝股四头肌等长、等速肌力测试力矩值显著降低为主要表现。0A治疗目的是缓解关节疼痛、改善关节功能并重建受损之软骨及骨的结构，提高生活质量。对于0A患者，冃前的治疗主要有手术和非手术治疗，两者在疗效以及症状改善方面仍存在争
