| 隐性失血对全髋关节置换术后功能恢复影响的临床观察 |
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投稿时间：2011-02-21
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| 作者 | Author | 单位 | Address | E-Mail |
| 丛宇 |
CONG Yu |
南京军区南京总医院骨科，江苏 南京 210002 |
Department of Orthopaedics,Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
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| 赵建宁 |
ZHAO Jian-ning |
南京军区南京总医院骨科，江苏 南京 210002 |
Department of Orthopaedics,Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
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| 包倪荣 |
BAO Ni-rong |
南京军区南京总医院骨科，江苏 南京 210002 |
Department of Orthopaedics,Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
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| 曾晓峰 |
ZENG Xiao-feng |
南京军区南京总医院骨科，江苏 南京 210002 |
Department of Orthopaedics,Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
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| 郭亭 |
GUO Ting |
南京军区南京总医院骨科，江苏 南京 210002 |
Department of Orthopaedics,Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
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| 程秀红 |
CHENG Xiu-hong |
南京军区南京总医院骨科，江苏 南京 210002 |
Department of Orthopaedics,Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
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| 周利武 |
ZHOU Li-wu |
南京军区南京总医院骨科，江苏 南京 210002 |
Department of Orthopaedics,Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
zhouliwu2000@sina.com |
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| 期刊信息：《中国骨伤》2011年，第24卷，第6期，第466-468页 |
| DOI：10.3969/j.issn.1003-0034.2011.06.007 |
| 基金项目: |
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中文摘要:
目的：探讨隐性失血对髋关节功能恢复的影响及治疗对策。
方法：利用Harris髋关节评分系统对2008年5月至2009年7月行单侧全髋关节置换术的71例患者进行随访(男47例，女24例；年龄48～75 岁，平均68.3岁),结合患者术中隐性失血量，分析髋关节功能恢复与隐性失血之间的相关性。
结果：全髋关节置换术组患者的实际失血总量平均为1 473 ml,隐性失血为545 ml,占总量的37%.隐性失血与患者术后功能恢复有关(P=0.001),而与患者的体质量指数、年龄、性别、手术肢体无关(P=0.067,0.527,0.926,0.072).
结论：隐性失血量的多少对全髋关节置换术后功能恢复有一定影响，隐性失血量可以作为关节置换术后功能恢复的一项参考指标。 |
| 【关键词】关节成形术，置换，髋 功能恢复 失血，手术 股骨头坏死 股骨颈骨折 骨关节炎，髋 |
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| Prognostic significance of hidden blood loss in total hip arthroplasty(THA) |
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ABSTRACT
Objective: To explore the prognostic significance of hidden blood loss in total hip arthroplasty.
Methods: From May 2008 to July 2009,Harris hip score was used to evaluate the functions of 71 patients undergoing single side total hip arthroplasty(including 47 males and 24 females with a mean age of 68.3 years,ranged from 48 to 75 years). The blood loss in the operation was analyzed to study the correlation between hidden blood loss and the functional rehabilitation.
Results: All 71 patients undergoing THA were involved in the result analysis. The mean total blood loss was 1 473 ml and the hidden blood loss was 545 ml (37%). Hidden blood loss significantly correlated with functional rehabilitation (P=0.001),but there were no correlations between functional rehabilitation and age,gender,operative limb of patients (P=0.067,0.527,0.926,0.072).
Conclusion: Hidden blood loss maybe a useful prognostic information contributing to the functional rehabilitation of total hip arthroplasty. |
| KEY WORDS Arthroplasty replacement,hip Recovery of function Blood loss,surgical Femur head necrosis Femoral neck fractures Osteoarthritis,hip |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 丛宇,赵建宁,包倪荣,曾晓峰,郭亭,程秀红,周利武.隐性失血对全髋关节置换术后功能恢复影响的临床观察[J].中国骨伤,2011,24(6):466~468 |
| 英文格式: | CONG Yu,ZHAO Jian-ning,BAO Ni-rong,ZENG Xiao-feng,GUO Ting,CHENG Xiu-hong,ZHOU Li-wu.Prognostic significance of hidden blood loss in total hip arthroplasty(THA)[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(6):466~468 |
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