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1、膝关节Lysholm评分表病人姓名：跛行(5)无5分肿胀(10)无10分轻度或间歇跛行3分过度用力后肿胀6分严重或持续跛行0分平时用力后2分持续肿胀0分支持(5)无5分上楼(10)无问题10分手杖或拐杖2分轻度减弱6分不能负重0分每一步都困难2分不能上楼0分绞锁(15)无绞锁或卡感15分下蹲(5)无问题5分有绞锁但无卡感10分轻度减弱4分绞锁偶然6分不大于90度2分绞锁经常2分不能下蹲0分体检时绞锁0分不稳定(25)从无打软25分疼痛(25)无25分运动或费力时偶有打软20分不常疼痛或用力时轻微疼痛20分运动或费力时常有打软15分用力时显著15分日常生活偶有10分步行2公里后显著10分日常生活
2、常发5分步行2公里内显著5分每一步0分持续疼痛0分填表人：填表日期：（二）诊断标准1.西医诊断标准临床诊断标准：按照骨关节炎诊治指南（2007年版）膝关节OA的诊断标准：近1个月内反复膝关节疼痛；X线片（站立或负重位）示关节间隙变窄、软骨下骨硬化和（或）囊性变、关节骨赘形成；关节液（至少2次）清亮、黏稠，WBC2000个/ml；中老年患者（40岁）；晨僵30min；活动时有骨摩擦音（感）；综合临床、实验室及X线检查，符合1+2条或1+3+5+6条或1+4+5+6条，可诊断膝关节OA。软骨病变Outerbridge标准分级0级，正常关节软骨；级，软骨变软或局部肿胀；级，软骨表面纤维化轻，软骨缺损
3、厚度小于50；级，软骨表面纤维化重，龟裂明显，软骨缺损厚度大于50，尚未暴露软骨下骨；级，软骨完全缺损，软骨下骨外露。2.中医证候诊断标准国家中医药管理局“十一五”重点专科主攻病种骨关节炎诊疗方案：肾虚骨痹型主症：膝关节疼痛或肿胀、胫软膝酸。次症：骨关节疼痛，时轻时重，或筋脉拘急牵引，屈伸运动而加剧，舌淡白，或舌红少津，脉沉细，或沉细而数。3.纳入标准成年男性或女性，年龄在40-75之间，符合西医KOA诊断标准；符合中医证候诊断标准辩证为肾虚骨痹型KOA；关节镜术后软骨病变Outerbridge标准分级属级的患者。知情同意者；X线片（站立或负重位）下肢力线正常。4.排除标准膝关节间隙明显狭窄或
4、关节间形成骨桥连接而成骨强直者，关节软骨损害属0-级及级的患者；有严重膝关节内外翻畸形或系统性骨或关节疾病；膝关节肿瘤、类风湿、结核、化脓及并发病影响到关节结构者；继发性膝OA或伴有牛皮癣、梅毒性神经病褐黄病、代谢性骨病者；合并有心血管、脑血管、肝、肾、和造血系统等严重原发性疾病，精神病患者；化学物质所致的职业性膝骨关节炎，药物引起的膝骨关节炎；不符合纳入标准的其他病例未按规定用药，无法判断疗效者；不同以配合临床治疗观察者；孕妇或哺乳妇女，过敏体质者；5.中止、剔除标准依从性差，未按规定治疗或擅自服用可能影响疗效的药物；出现严重不良事件；患者自行退出研究；出现过敏反应及严重不良事件者；病人随访
5、期间因各种原因失访；符合上述五条中任意一条者，将从研究中剔除。Tegner Lysholm Knee Scoring ScaleClinicians name (or ref)Patients name (or ref)This questionnaire has been designed to give your therapist information as to how your knee pain has affected your ability to manage in everyday life. Please answer every question by placing
6、 a mark in the box that best describes your condition today.During the past 4 weeks.Section 1 -LimpSection2 -SupportNoneNoneSlight or periodicalStick or crutchSevere and constantWeight-bearing impossibleSection3 -PainSection4 -InstabilityNoneNever giving wayInconstant and slight during severe exerti
7、onRarely during athletics or other severe exertionMarked during severe exertionFrequently during athletics or other severe exertion (or incapable of participation)Marked on or after walking more than 2 kmOccasionally in daily activitiesMarked on or after walking less than 2 kmOften in daily activiti
8、esConstantEvery stepSection5 -LockingSection6 - SwellingNo locking and no catching sensationsNoneCatching sensation but no lockingOn severe exertionLockingOccasionallyOn ordinary exertionFrequentlyConstantLocked joint on examinationSection7 - Stair-climbingSection 8 -SquattingNo problemsNo problemsSlightly impairedSlightly impairedOne step at a timeNot beyond 90ImpossibleImpossible
