主页 > 医学新闻 >
【medical-news】为老年人关节置换提供一种选择
July 14, 2008 -- Knee or hip replacement surgery may be a viable option for relieving the pain and disability caused by osteoarthritis among the elderly.
A new study shows older adults who have hip or knee replacement surgery for severe osteoarthritis may take several weeks to recover but have excellent long-term results.
Researchers say that as the U.S. population ages, the number of elderly with osteoarthritis is increasing, and noninvasive treatments, such as drugs and physical therapy, are of only limited value for severe cases.
Joint replacement surgery can relieve pain and restore function to the affected joints, but researchers say few older people with osteoarthritis are offered surgery as a potential treatment option because of the associated risks.
Surgery Option for Osteoarthritis
In the study, published in the Archives of Internal Medicine, researchers followed 174 older adults aged 65 or older (average age 75) with severe osteoarthritis of the hip or knee. The participants were evaluated between 2001 and 2004 and again a year later after treatment.
Overall, 29% of the participants had either hip or knee replacement surgery. Of those, 17% had complications following surgery, such as deep wound infection and blood clot in the lungs (pulmonary embolism); 38% had pain lasting more than four weeks after surgery.
No deaths were reported among those who had joint replacement surgery. Researchers found patients aged 75 and older took about the same amount of time to recover from surgery as those aged 65 to 74.
During recovery, most elderly patients required assistance with daily activities like shopping and household chores for more than a month.
A year after treatment, elderly patients treated with joint replacement surgery experienced more significant improvements in osteoarthritis symptoms than those who did not have surgery.
Researchers found that nearly half of the patients who did not have joint replacement surgery said surgery was not offered to them as a potential treatment. Those who did not have surgery also tended to be older, have lower incomes, and be more worried about surgical complications and a longer recovery than those who did have surgery.
"Many patients were not offered surgery or chose not to have surgery owing to concerns about postoperative complications or prolonged recovery," write researcher Mary Beth Hamel, MD, MPH, of Beth Israel Deaconess Medical Center in Boston and colleagues. "Improved communication between physicians and patients may allow more elderly patients to make informed choices and to thoughtfully weigh the risks and burdens of joint replacement surgery against its benefits in alleviating pain and improving function and quality of life."
http://www.webmd.com/osteoarthritis/news/20080714/joint-replacement-an-option-for-elderly 人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 Joint Replacement an Option for Elderly
关节置换为老年人提供了一个机会
July 14, 2008 -- Knee or hip replacement surgery may be a viable option for relieving the pain and disability caused by osteoarthritis among the elderly.
膝关节/髋关节置换术为因骨关节炎而痛疼、致残的老年人提供了一种可行的选择。
A new study shows older adults who have hip or knee replacement surgery for severe osteoarthritis may take several weeks to recover but have excellent long-term results.
一项新的研究表明严重骨关节炎患者行膝/髋关节置换术后康复要经过数周，但是显示良好的远期效果。
Researchers say that as the U.S. population ages, the number of elderly with osteoarthritis is increasing, and noninvasive treatments, such as drugs and physical therapy, are of only limited value for severe cases.
研究者称，随着美国人口老龄化，患骨关节炎的老年人越来越多，保守疗法，如药物、理疗对于严重患者只有有限的疗效。
Joint replacement surgery can relieve pain and restore function to the affected joints, but researchers say few older people with osteoarthritis are offered surgery as a potential treatment option because of the associated risks.
关节置换能够解决痛疼并保留关节的功能，但是研究者发现只有很少的患者被建议经行手术，因为担心相关并发症。
Surgery Option for Osteoarthritis
骨关节炎的手术选择
In the study, published in the Archives of Internal Medicine, researchers followed 174 older adults aged 65 or older (average age 75) with severe osteoarthritis of the hip or knee. The participants were evaluated between 2001 and 2004 and again a year later after treatment.
the Archives of Internal Medicine发表了一篇相关研究。研究者随访了174名患有膝/髋关节骨关节炎的老年人，65岁或更老一些(平均年龄75）。在2001年到2004年之间和接受治疗后一年，对他们进行了评估。
阅读本文的人还阅读：
作者:admin@医学,生命科学 2011-04-23 05:14
医学,生命科学网