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生活方式因素是否会影响患者在全膝关节置换手术后报告的临床结果? 一项可行性队列研究 (PRO-Knee)

Gareth Stephens^1,2, Triantafyllos Liloglou², Maria Moffatt³

¹The Royal Orthopaedic Hospital NHS Trust, Birmingham, United Kingdom.

|October 21, 2025

概括

一项研究发现,在等待全膝关节置换的患者中,吸烟,不运动和超重等可修改的生活方式因素是常见的,这表明未来的研究是可行的.

科学领域:

整形外科手术整形外科手术
生活方式医学医疗
患者研究成果研究结果

背景情况:

可修改的生活方式因素越来越多地被认为对外科手术结果的影响.
了解在接受全膝关节置换 (TKR) 的患者中这些因素的患病率对于优化术后恢复至关重要.

研究的目的:

评估进行大规模队列研究的可行性.
调查生活方式因素 (吸烟,身体不活动,饮酒,超重) 与TKR后患者报告的结果之间的关系.

主要方法:

在手术前招募了一组正在等待TKR的成年人.
参与者在基线,手术后3个月和6个月完成了自我报告问卷.
可行性结果包括招聘率,参与者保留率和问卷答复率.

主要成果:

招募达到22% (40/183) 符合条件的患者.
可修改的风险因素的高患病率:85%的超重,67.5%的身体不活跃,25%的酒精消费者,5%的吸烟者.
保持率高:87.5%的参与者回复了6个月的问卷.

结论:

可修改的生活方式因素在TKR患者群体中非常普遍.
未来在英国国家卫生服务 (NHS) 中进行实质性队列研究,调查这些因素对TKR结果的影响是可行的.
这些发现支持了针对生活方式因素的干预措施的必要性,以改善TKR患者的治疗结果.

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