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頁籤選單縮合
題 名 | Early Physical Function Recovery and Quality of Life in Patients with Diabetes Mellitus after Minimally Invasive Total Knee Arthroplasty=糖尿病患者接受微創全膝關節置換術後其早期身體功能恢復和生活品質之探討 |
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作 者 | 李雨軒; 康耀文; 施國正; 楊永聖; 李曉惠; 簡盟月; | 書刊名 | 物理治療 |
卷 期 | 41:1 2016.03[民105.03] |
頁 次 | 頁37-47 |
分類號 | 416.61 |
關鍵詞 | 糖尿病; 退化性關節炎; 微創全膝關節置換術; 身體功能; 生活品質; Diabetes mellitus; Osteoarthritis; Minimally invasive total knee arthroplasty; Physical function; Quality of life; |
語 文 | 英文(English) |
中文摘要 | 背景和目的:退化性膝關節炎合併糖尿病患者,需接受全膝關節置換術的人口隨年齡增長而逐漸增加,新式微創全膝關節置換術相較傳統型全膝關節置換術增添許多優點,故於臨床使用上普遍率提高。本篇研究目的為比較糖尿病患者與無糖尿病者接受微創全膝關節置換術後,其術後身體功能恢復和生活品質狀況,並探討影響術後成效的影響因子。方法:徵召93名進行微創全膝關節置換術患者,分為糖尿病組與非糖尿病組(糖尿病組46人,非糖尿病組47人)。分別在術前一日和術後三個月進行測量評估,包含雙側膝關節屈曲活動度、雙側股四頭肌肌力、身體功能測試、身體活動量,退化性關節炎指標和生活品質。結果:經身體質量指數調整後,兩組受試者術後三個月非開刀側股四頭肌肌力(p=0.007)、六分鐘行走測試(p=0.001)及36題簡短版生活品質量表的身體角色(p=0.021)和一般健康(p=0.039)領域有顯著組間差異。術後六分鐘行走測試距離和術後非開刀側膝關節屈曲活動度、股四頭肌肌力術、前六分鐘行走測試距離,以及是否罹患糖尿病有顯著相關(調整後R2=72.6%,p<0.001)。經共變數調整後,顯示糖尿病並非主要影響術後身體功能和生活品質的獨立因子。結論:糖尿病患者經微創全膝關節置換術後三個月有較差的身體功能和生活品質。術後膝關節屈曲角度和股四頭肌肌力與術前身體功能是主要術後身體功能和生活品質的主要預測因子。 |
英文摘要 | Background and Purpose: The population coexisted with knee osteoarthritis (OA) and diabetes mellitus (DM) requiring total knee arthroplasty (TKA) increases with aging. The new minimally invasive TKA (MIS-TKA) prevails due to its advantages. This study aimed to compare physical function recovery and quality of life (QOL) after MIS-TKA in patients with DM to those without, and to determine the factors influencing the postoperative outcomes. Methods: Ninety-three patients underwent MIS-TKA were recruited and divided into diabetic group and non-diabetic group (46 in diabetic group and 47 in non-diabetic group). The measurements were assessed before surgery and at 3-month follow-up, including range of motion (ROM) of knee flexion and quadriceps strength, physical function tests, physical activities, osteoarthritis index, and QOL. Results: There were significant between-group differences at preoperative and 3 months in quadriceps strength of non-operated side (p=0.007), 6-minute walk test distances (p=0.001), and role-physical (p=0.021) and general health domains (p=0.039) of QOL after adjustment for body mass index. The 3-month follow-up 6MWT distances were associated with preoperative 6MWT distances, postoperative knee flexion ROM and quadriceps strength of non-operated side, and the non-diabetic group (adjusted R^2=72.6%, p<0.001). However, diabetes was not a major independent factor associated with postoperative physical function and QOL while adjusting for covariates. Conclusion: Compared to patients without DM, patients with DM had worse physical function and QOL at 3-month follow- up. Postoperative knee flexion ROM, quadriceps strength, and preoperative physical function status were major predictors of postoperative physical function and QOL in patients receiving MIS-TKA. |
本系統中英文摘要資訊取自各篇刊載內容。