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轻度贫血患者全膝关节置换术前使用α-红细胞生成素的作用研究

邹永根 张箭 杨杰翔

实用医学杂志Issue(4):566-568,3.
实用医学杂志Issue(4):566-568,3.DOI:10.3969/j.issn.1006-5725.2014.04.021

轻度贫血患者全膝关节置换术前使用α-红细胞生成素的作用研究

Effects of the administration of erythropoietin-alpha before total knee arthroplasty on patients with mild anemia

邹永根 1张箭 1杨杰翔1

作者信息

  • 1. 646000 泸州医学院附属中医院骨伤科,手外科
  • 折叠

摘要

Abstract

Objective To observe the effects of erythropoietin-α administered before the total knee arthroplasty (TKA) on the blood transfusion in patients with mild anemia. Methods 60 patients with mild anemia, who were arranged to receive TKA , from 2010-2012 , were assigned to received either 40 000U of erythropoietin-αfor 3 times (once a week) 3 weeks before the surgery (intervention group, n=30) or not (control group, n=30). Then the hemoglobin levels , transfusion ratio , inpatient length of stay and duration of surgery between the 2 groups were analyzed. Results The hemoglobin level was increased from 11.5 g/dL to 14.3 g/dL in intervention group before the surgery (P<0.01). The blood transfusion rate was decreased from 96.6%to 56.6% (P=0.013) during the surgery. And the length of hospital stay was similar between the 2 groups. Conclusion Erythropoietin-αadministered 3 weeks before the TKA surgery could reduce the blood transfusion rate of patients with mild anemia.

关键词

全膝关节置换术/贫血/α-红细胞生成素/氨甲环酸

Key words

Total knee arthroplasty/Anemia/Epoetin-α/Tranexamic acid

引用本文复制引用

邹永根,张箭,杨杰翔..轻度贫血患者全膝关节置换术前使用α-红细胞生成素的作用研究[J].实用医学杂志,2014,(4):566-568,3.

实用医学杂志

OA北大核心CSTPCD

1006-5725

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