| 人工全髋关节置换术后有效引流方法的临床对照试验 |
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投稿时间：2010-03-09
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| 作者 | Author | 单位 | Address | E-Mail |
| 梅晓亮 |
MEI Xiao-liang |
南京大学医学院临床学院 南京军区南京总医院骨科，江苏 南京 210002 |
Department of Orthopaedics,General Hospital of Nanjing Military Command,Medical College of Nanjing University,Nanjing 210002,Jiangsu,China |
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| 郭亭 |
GUO Ting |
南京大学医学院临床学院 南京军区南京总医院骨科，江苏 南京 210002 |
Department of Orthopaedics,General Hospital of Nanjing Military Command,Medical College of Nanjing University,Nanjing 210002,Jiangsu,China |
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| 赵建宁 |
ZHAO Jian-ning |
南京大学医学院临床学院 南京军区南京总医院骨科，江苏 南京 210002 |
Department of Orthopaedics,General Hospital of Nanjing Military Command,Medical College of Nanjing University,Nanjing 210002,Jiangsu,China |
zhaojianning.0207@163.com |
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| 期刊信息：《中国骨伤》2010年，第23卷，第9期，第672-674页 |
| DOI：10.3969/j.issn.1003-0034.2010.09.011 |
| 基金项目: |
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中文摘要:
目的：探究人工全髋关节置换术后关节腔有效的引流方法。
方法：2009年3-9月，初次行单侧人工全髋关节置换术患者50例，术后分成自然引流组和常规负压引流组。自然引流组：男12例，女13例；年龄23～79,平均(58.0±15.2 )岁。常规负压引流组：男10例，女15例；年龄30～75岁，平均(55.0±17.8)岁。自然引流组患者术毕放置引流管及引流器，不予负压引流，常规负压组则给予负压引流。对术后伤口引流量、有无伤口感染或异常渗出、血红蛋白值变化、术后输血量等进行观察，并作统计学分析进行比较。
结果：两组患者术后均I期愈合，无感染发生。两种引流方法对血红蛋白值变化无明显影响(t=0.532,P>0.05),但负压引流组术后引流量及输血量明显多于自然引流组(t=4.405,2.496),差异有统计学意义(P<0.05).
结论：人工全髋关节置换术后伤口自然引流法可减少失血量和需输血概率，且不增加感染率，是一种较为理想、值得推广的伤口引流方法。 |
| 【关键词】关节成形术，置换，髋 引流术 输血 临床对照试验 |
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| Controlled clinical trials on effective means of drainage after total hip arthroplasty |
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ABSTRACT
Objective: To explore effective means of drainage after total hip arthroplasty(THA).
Methods: From March 2009 to September 2009,fifty patients who underwent primary total hip arthroplasty in one side were randomly divided into two groups. In the natural drainage group,there were 12 males and 13 females with a mean age of(58.0±15.2) years(from 23 to 79 years) and in the routine negative pressure drainage group there were 10 males and 15 females with a mean age of(55.0±17.8)years(from 30 to 75 years). The drainage volume,wound infection,abnormal exudation,the change of hemoglobin and the blood transfusion volume after operation were all observed and compared.
Results: The wound of all patients in two groups got primary healing without infections. There were no differences in the changes of hemoglobin between the two groups(t=0.532,P>0.05). However,in the natural drainage group the drainage volume was much less than that in the routine negative pressure drainage group;moreover,less patients in this group needed blood transfusion. There were obvious differences in the two groups(t=4.405,2.496,P<0.05).
Conclusion: After THA,the natural drainage can decrease the volume of blood loss and incidence of transfusion,and can not increase the infection rate,making it an ideal and deserved popularized drainage method. |
| KEY WORDS Arthroplasty,replacement,hip Drainage Blood transfusion Controlled clinical trials |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 梅晓亮,郭亭,赵建宁.人工全髋关节置换术后有效引流方法的临床对照试验[J].中国骨伤,2010,23(9):672~674 |
| 英文格式: | MEI Xiao-liang,GUO Ting,ZHAO Jian-ning.Controlled clinical trials on effective means of drainage after total hip arthroplasty[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(9):672~674 |
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