中国组织工程研究Issue(44)：7092-7096,5.DOI:10.3969/j.issn.2095-4344.2015.44.008
全髋关节置换修复髋关节骨性关节炎和股骨颈骨折：隐性失血的对比
Total hip arthroplasty for hip osteoarthritis and femoral neck fracture：comparison of hidden blood loss
摘要
Abstract
BACKGROUND:There were stil lacking related clinical researches in the aspects of whether the total blood loss and hidden blood loss were connected with pathogenesis, whether the total blood loss and hidden blood loss were different among the patients who conducted total hip arthroplasty under different pathogenesis, and whether the preoperative intervention should be conducted for a particular cause? OBJECTIVE:To compare and analyze the hidden blood loss of patients with hip osteoarthritis and femoral neck fracture after total hip replacement. METHODS:The clinical data of 150 patients who received the unilateral total hip arthroplasty treatment from June 2013 to January 2015 were colected and analyzed, including 54 patients with hip osteoarthritis (30 male cases and 24 female cases ), 96 patients with femoral neck fracture (41 male cases and 55 female cases). The pre-and post-operative blood routine and intro-and post-operative blood loss and transfusion were recorded, and hidden blood loss during pen-operation period was evaluated. RESULTS AND CONCLUSION:Total blood loss was (1 616±216) mL, hidden blood loss was (699±102) mL, and hidden blood loss accounted for 43.3% of the total blood loss. The total blood loss was (1 742±254) mL in the hip osteoarthritis group, hidden blood loss was (758±127) mL, hidden blood loss accounted for 44.6% of the total blood loss; The average total blood loss was (1 470±189) mL in the femoral neck fracture group, hidden blood loss was (625±98) mL, hidden blood loss accounts for 42.1% of the total blood loss. The total blood loss and hidden blood loss in hip osteoarthritis group were significantly higher than those in the femoral neck fracture group (P< 0.05). However, there was no significant difference on the hidden blood loss accounts for the proportion of the total blood loss between two groups (P=0.419 3). These results suggest that the total blood loss and hidden blood loss are different for the patients who underwent total hip arthroplasty in the premise of both pathogenesis. Therefore, before the total hip arthroplasty, we should fuly take into account the primary cause of patients and estimate the total blood loss and hidden blood loss, so as to take appropriate preventive measures in time to ensure the safety of the replacement process.关键词
骨科植入物/人工假体/髋关节骨性关节炎/股骨颈骨折/全髋关节置换/总失血量/隐性失血量/出血/输血/原发病因/国家自然科学基金分类
医药卫生引用本文复制引用
史高龙,董启榕,陈明,佘昶..全髋关节置换修复髋关节骨性关节炎和股骨颈骨折：隐性失血的对比[J].中国组织工程研究,2015,(44):7092-7096,5.基金项目
国家自然科学基金资助项目(811717) （811717）
