Difference of preoperative examination and matters needing attention between osteoarthritis and rheumatoid arthritis patients who received total knee replacement
10.3760/cma.j.issn.1673-4904.2012.32.008
- VernacularTitle:膝关节骨性关节炎与类风湿关节炎患者全膝人工关节置换术术前检查的区别及注意事项
- Author:
Tiejun WANG
;
Bo WANG
- Publication Type:Journal Article
- Keywords:
Knee joint;
Osteoarthritis;
Arthritis,rheumatoid
- From:
Chinese Journal of Postgraduates of Medicine
2012;(32):21-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the difference of preoperative examination and matters needing attention between osteoarthritis(OA)and rheumatoid arthritis(RA)patients who received total knee replacement(TKR).Methods Preoperative examination results were analyzed retrospectively between OA patients(362 cases)and RA patients(91 cases)who received TKR.Results The age of OA patients was significantly higher than RA patients[(66.55±7.78)years vs.(58.93±13.46)years,P＜0.05].There was significant difference in rate of diabetes between OA and RA patients[26.52％(96/362)vs.37.36％(34/91),P＜0.05].There was no significant difference in the rate of lumbar vertebrae disease between OA and RA patients[33.43％(121/362)vs.23.08％(21/91),P＞0.05].The body mass index,haematocrit and hemoglobin in OA patients were significantly higher than those in RA patients[(27.71±3.98)kg/m2 vs.(24.37±4.30)kg/m2,0.38±0.05 vs.0.33±0.06,(130.17±17.59)g/L vs.(111.45±18.56)g/L,P＜0.01].The erythrocyte sedimentation rate,C-reactive protein and D-dimer in OA patients were significantly lower than those in RA patients[(27.77±27.66)mm/1 h vs.(59.76±32.00)mm/1 h,(17.23±27.66)mg/L vs.(30.00±32.27)mg/L,(268.54±299.83)μ g/L vs.(990.09±550.91)μg/L,P＜0.01 or＜0.05].The rate of using glucocorticoid in RA patients was significantly higher than OA patients[8.8％(8/91)vs.0,P＜0.01].There was no significant difference in the rate of urinary system infection(P＞0.05).Conclusions The preoperative examination is found significantly different between OA and RA patients who received TKR.According to different focuses on,dealing with various kinds of complications and correct guidance on preoperative treatment,can ensure the safety of operation.
