| 膝关节置换术后早期引流管夹闭时间长短的选择 |
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| 引用本文： | 付代杰,尚希福,倪喆,孙永进.膝关节置换术后早期引流管夹闭时间长短的选择[J].中国临床保健杂志,2018(1):26-28. |
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| 作者姓名： | 付代杰 尚希福 倪喆 孙永进 |
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| 作者单位： | 中国科学技术大学附属第一医院(安徽省立医院)骨科; |
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| 基金项目： | 安徽省自然科学基金(1208085QH161) |
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| 摘 要： | 目的探讨人工全膝关节术后夹闭引流管最适时长的选择。方法选取拟行单侧全膝关节置换术的膝骨关节炎患者120例,按照入院顺序编号,随机分组,分为4组(A组:持续引流组;B组:夹闭1 h组;C组:夹闭2 h组;D组:夹闭4 h组),每组30例。观察各组术前及术后48 h血红蛋白浓度(Hb)和红细胞比容(HCT)、总失血量、术后48h引流量、输血量、术后美国膝关节协会评分(KSS评分)、膝关节活动度,关节肿胀、皮下瘀斑情况。结果四组术前Hb、HCT差异均无统计学意义(P0.05);各组内术后Hb、HCT均小于术前,差异有统计学意义(P0.05);各组间总失血量、术前Hb与术后Hb差值、全组平均输血量、输血率的比较中持续引流组大于其余各组,夹闭1 h组大于2 h、4 h组,均差异有统计学意义(P0.05),而夹闭2 h与4 h组之间,差异无统计学意义(P0.05);术后48 h引流量的比较中各组间差异均有统计学意义(P0.05),且持续引流组最大,夹闭4 h组最小;四组术后情况比较中,夹闭4 h组关节肿胀和皮下瘀斑发生率明显增高;HSS评分方面,四组差异无统计学意义(P0.05);关节活动度方面持续引流组大于其余各组(P0.05),夹闭1 h与2 h组差异无统计学意义(P0.05),夹闭4 h小于其余各组(P0.05)。结论全膝关节置换术后夹闭引流管2 h是最理想的时间选择。
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| 关 键 词： | 关节成形术 置换 膝 引流术 时间因素 |
| 收稿时间： | 2017/3/1 0:00:00 |
Clinical research on time choice of early clipping drainage tube after total knee arthroplasty |
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| Fu Daijie,Shang Xifu,Ni Zhe and Sun Yongjin.Clinical research on time choice of early clipping drainage tube after total knee arthroplasty[J].Chinese JOurnal of Clinical Healthcare,2018(1):26-28. |
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| Authors: | Fu Daijie Shang Xifu Ni Zhe and Sun Yongjin |
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| Affiliation: | Department of Orthopaedics,the First Affiliated Hospital of University of Science and Technology of China,Hefei 230001,China,Department of Orthopaedics,the First Affiliated Hospital of University of Science and Technology of China,Hefei 230001,China,Department of Orthopaedics,the First Affiliated Hospital of University of Science and Technology of China,Hefei 230001,China and Department of Orthopaedics,the First Affiliated Hospital of University of Science and Technology of China,Hefei 230001,China |
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