国人全膝置换术后评分系统与患者实际满意度一致性分析
丛锐军;刘伟;付培亮;王波;吴宇黎;李晓华;祝云利;吴海山
【期刊名称】《实用骨科杂志》 【年(卷),期】2012(018)004
【摘要】目的 人工全膝关节置换在国内已广泛开展,评价置换效果的评分系统主要采用KSS、WOMAC和SF-36等系统.这些系统关注的焦点与中国患者关注的焦点是否一致,评分细则是否符合中国国情,一直没有得到有效的评价,本文旨在比较并评价以上系统.方法 采用直线相关回归的方法,评价204例患者的KSS、WOMAC、SF-36评分和患者主观满意度之间的相关性,从而评价上述评分对中国患者的适用度.结果 KSS评分和WOMAC评分值与患者的主观满意度相关性较差,决定系数低于0.6.SF-36评分在术后1周时与患者满意度高度相关,在术后3个月时不相关.结论 国人对膝关节功能的要求更多的在于屈膝下蹲等动作,对疼痛的耐受较好,类似因素影响了KSS和WOMAC评分与患者主观满意度的一致性.上述评分应针对国人关注焦点改变权重,以便更好的用于膝关节置换手术的评价.%Objective The KSS,WOMAC,SF-36 were mainly used as the score system in total knee arthroplasty (TKA). Whether these systems express the true feel of the natives are not elucidated. Methods Compare 204 patients' KSS,WOMAC,SF-36 scores with his/her subjective satisfaction using linear correlated regression to evaluate the adaptability of these scors. Results The correlation between .the KSS and the patients' subjective satisfaction is poor as well as the WOMAC. The coefficients of determination are less than 0. 6. On first week after operation the SF-36
国人全膝置换术后评分系统与患者实际满意度一致性分析
