膝关节周围截骨术患者术前评估与出院评估之间的关系。

Takashi Hasegawa, Keita Nishi, Shinichi Matsumoto, Yuh Yamashita, Takefumi Moriuchi, Toshio Higashi
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引用次数: 0

摘要

[目的] 本研究旨在确定膝关节周围截骨术患者术前评估与出院评估之间的关系。[参与者和方法] 我们选取了本院收治的接受膝关节周围截骨术的患者。我们在术前和出院前测量了膝关节活动范围、疼痛数字评分量表、疼痛灾难化量表、医院焦虑抑郁量表和 10 米步行时间。进行了术前术后比较和相关性测试。[结果]共对 18 名患者进行了分析。静息和运动疼痛数字评分量表、膝关节屈伸活动范围和疼痛灾难化量表在出院时均有明显改善。术前疼痛灾难化量表总分与术前 10 米步行时间、膝关节屈伸活动范围、疼痛灾难化量表总分以及医院焦虑抑郁量表抑郁分量表之间存在明显相关性。[结论]膝关节周围截骨术后适当的术后康复治疗可改善出院时的身体功能和认知/心理评估。术前疼痛灾难化量表总分与出院时10米行走时间之间的相关性表明,术前出现的长时间行走疼痛可能影响了对疼痛的认知和心理评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship between preoperative and discharge evaluations in patients receiving around-the-knee osteotomy.

[Purpose] This study aimed to determine the relationship between preoperative and discharge assessments in patients undergoing around-the-knee osteotomy. [Participants and Methods] We enrolled patients admitted to our hospital who underwent around-the-knee osteotomy. We measured knee joint range of motion, pain numeric rating scale, pain catastrophizing scale, hospital anxiety and depression scale, and 10-m walk time were measured preoperatively and before discharge. Pre-post comparisons and correlation testing were performed. [Results] A total of 18 patients were analyzed. Resting and exercise pain numeric rating scale, knee flexion and extension range of motion, and pain catastrophizing scale were significantly better during discharge. A significant correlation was observed between the preoperative pain catastrophizing scale total score and 10-m walking time, knee flexion and extension range of motion, pain catastrophizing scale total score, and hospital anxiety and depression scale-depression subscale preoperatively. [Conclusion] Appropriate postoperative rehabilitation after around-the-knee osteotomy improved physical function and cognitive/psychological evaluation at discharge. The correlation between the preoperative pain catastrophizing scale total score and 10-m walking time at discharge suggests that the prolonged walking pain that occurred preoperatively may have affected the cognitive and psychological evaluation of pain.

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