中国现代手术学杂志2017,Vol.21Issue(1):40-43,4.DOI:10.16260/j.cnki.1009-2188.2017.01.010
常压转负压引流对全膝关节置换术患者的影响
The Clinical Effect of Negative Pressure Drainage Followed Atmospheric Pressure Drainage in Total Knee Replacement Patients
摘要
Abstract
Objective To explore the clinical effect of negative pressure drainage followed atmospheric pressure drainage in total knee replacement patients.Methods There were 90 cases with TKA were randomly divided into the experiment group and the control group,with 45 cases for each.The experiment group was treated by negative pressure drainage followed atmospheric pressure,and the control group was treated by negative pressure drainage 4 hours after operation.The drainage volume,clinical effect,and prognosis of the patients were compared.Results The drainage volume of 0 ~6h,6 ~ 12h and the total one of the experiment group was less than the control group (P < 0.05).The transfusion volume and 1-day postoperative blood loss of the experiment group were less than the control group(P < 0.05).There was no significant difference on the body temperature before and after operation for the two groups(P > 0.05).The 2-day postoperative active flexion angle of the experiment group was less than the control group(P < 0.05),and it became larger than the control group 5 days after operation (P < 0.05).There was no significant difference on the rate of phlebothrombosis (P > 0.05).Conclusion It can reduce the drainage volume and the blood loss for the patients with total knee replacement by negative pressure drainage followed atmospheric pressure drainage.It has high value of clinical application with the improvement of the range of motion.关键词
引流术/全膝关节置换术Key words
drainage/total knee replacement分类
医药卫生引用本文复制引用
李荣华,杜向阳,项永胜..常压转负压引流对全膝关节置换术患者的影响[J].中国现代手术学杂志,2017,21(1):40-43,4.