MÔ TẢ ĐẶC ĐIỂM LÂM SÀNG BỆNH NHÂN THOÁI HOÁ KHỚP GỐI ĐẾN ĐIỀU TRỊ TẠI KHOA PHỤC HỒI CHỨC NĂNG BỆNH VIỆN E NĂM 2022- 2023

Abstract

Target: Describe the clinical characteristics and status of patients with knee osteoarthritis. Subject and method of the research: 105 patients were diagnosed with knee osteoarthritis and treated in the rehabilitation department - E Hospital during July 2022 - July 2023. The patients were treated following the general protocol of the Ministry of Health for knee osteoarthritis, including drugs, physical therapy, exercise within 1 month. The patient assessment according to Womac scale was conducted at  the time of admission, after 15 treatments and at discharge. Result: knee osteoarthritis often occurs in the group of over-60-years-old patients, with more women then men following the ratio of men/ women of 1: 6. Body mass index, occupation related to manual labor is one of the factors promoting knee osteoarthritis. The most common symptoms are: pain when walking, pain when climbing stairs 100%, mechanical pain 97,5%, pain when standing 89,3%, signs of joint leakage 75,6%. Most patients have moderate to severe range of motion limitation, accounting for 70,6%, thus greatly affecting daily activities. Conclusion: Chronic knee pain is a common symptom in knee OA patients, in which more women than men, the pro portion of manual labor patients is higher than that of non-manual labor patients. Chronic pain increases the risk of impaired ADLs. Nevertheless, there was no association with the quality of life of the study subjects. More in-depth research on chronic pain in the elderly with knee OA in particular and in the elderly in general is needed in order to have appropriate preventive and therapeutic measures to improve symptoms, thereby helping to improve the quality of life.