临床骨科杂志2016，Vol.19Issue(6)：696-698,3.DOI:10.3969/j.issn.1008-0287.2016.06.022
不同干预措施对全膝关节置换术围手术期出血的影响
Different interventions on perioperative bleeding effect of total knee arthroplasty
付立新 1张书钦 1崔彦江 1李新1
作者信息
- 1. 中国中医科学院广安门医院南区骨一科，北京 102618
- 折叠
摘要
Abstract
Objective To explore effect of the timing of tourniquet loosened and clipping drainage tube on periopera-tive bleeding of total knee arthroplasty ( TKA ) . Methods Total 70 cases of knee osteoarthritis patients on single knee TKA treatment before surgery were used to close the wound tourniquet release with coagulation hemostasis, post-operative drainage tube clamping 6 h ( observation group, 40 cases) and the full use of intraoperative tourniquet and postoperative open drainage tube drainage in the natural state ( control group,30 cases) , and both of the bleeding vol-ume and venous thrombosis were observed. Results Observation group blood loss was significantly more than that of the control group (P<0. 05), but the postoperative drainage, hidden blood loss and total blood loss were significant-ly lower than that of the control group (P<0. 05). The differences were statistically significant. Blood transfusion ca-ses:the observation group was 11 cases ( 27. 5%) , the average volume of blood transfusion was 2. 7 U; control group, 24 cases(80. 0%), the average volume of blood transfusion was 3. 4 U;the difference of two groups was sta-tistically significant (P<0. 01). The number of cases between the two groups after the venous thrombos:observation group was 5 cases ( 12. 5%); control group 1 patient ( 3. 3%); there was no significant difference ( P >0. 05 ) . Conclusions To loosen the tourniquet and stop bleeding with coagulation hemostasis before wound closure in opera-tion, and occlusion of the drainage tube 6 h after operation, which can significantly reduce the total TKA perioperative bleeding, but it can increase the venous thrombosis of lower extremity.关键词
全膝关节置换/膝骨关节炎/止血带/引流管/出血Key words
total knee arthroplasty/knee osteoarthritis/tourniquet/drainage tube/bleeding分类
医药卫生引用本文复制引用
付立新,张书钦,崔彦江,李新..不同干预措施对全膝关节置换术围手术期出血的影响[J].临床骨科杂志,2016,19(6):696-698,3.
