前交叉韧带重建术后患者健康相关生存质量评估

    Evaluation of health-related quality of life in patients having received reconstruction of anterior cruciate ligament

    • 摘要: 目的:通过对前交叉韧带(anterior cruciate ligament,ACL)重建术后患者健康生存质量评估,评价Lysholm评分在关节镜ACL重建术后疗效评估中的作用。方法:对49例(50膝)接受关节镜ACL重建术的患者进行6~12个月的随访。在术前和术后6个月均对患者进行Lysholm评分和健康相关生存质量的评估,用简明健康状况调查量表(SF-36)评分,并分析Lysholm评分和SF-36各项评分之间的相关性。结果:患者术后6个月的Lysholm评分和SF-36各项评分均较术前有所改善(P<0.01),但SF-36各项评分的改善程度并不一致。结论:Lysholm评分能较好地评估ACL重建术对改善患者关节稳定性和缓解疼痛的疗效,但对于评价患者健康相关生存质量和其他方面的改善还存在局限性。SF-36评分引入到ACL重建术的疗效评估中有积极意义。

       

      Abstract: Objective:To evaluate the limitation of Lysholm score in assessing the life quality of patients having undergone reconstruction of anterior cruciate ligament (ACL).Methods:Forty-nine patients (50 knees) who had received reconstruction of ACL were followed up for 6 to 12 months,and their quality of life was investigated by Lysholm and MOS 36-item short-form health survey (SF-36) before and six months after the operation.The relativity between the scores by Lysholm and by SF-36 were analyzed.Results:The scores by both Lysholm and SF-36 were significantly improved 6 months after the operation compared with those before the operation (P<0.01),but the scores of each item by SF-36 were different.Conclusions:It suggests that Lysholm score can assess the physical function and pain relief in the patients who had received reconstruction of ACL,but has limitation in evaluating the quality of life and other improvements.So it is of great significance to combine Lysholm with SF-36 in evaluating the results of reconstruction of ACL.

       

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