| 股骨颈骨折生物型全髋关节置换术后放置真空负压引流对围手术期失血量影响的病例对照研究 |
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投稿时间：2014-07-15
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| 作者 | Author | 单位 | Address | E-Mail |
| 骆国钢 |
LUO Guo-gang |
温州市中西医结合医院关节外科, 浙江温州 325000 |
Department of Joint Surgery, Integrated Hospital of Traditional Chinese and Western Medicine of Wenzhou, Wenzhou 325000, Zhejiang, China |
owen_509@163.com |
| 张鸿振 |
ZHANG Hong-zhen |
温州市中西医结合医院关节外科, 浙江温州 325000 |
Department of Joint Surgery, Integrated Hospital of Traditional Chinese and Western Medicine of Wenzhou, Wenzhou 325000, Zhejiang, China |
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| 姚剑川 |
YAO Jian-chuan |
温州市中西医结合医院关节外科, 浙江温州 325000 |
Department of Joint Surgery, Integrated Hospital of Traditional Chinese and Western Medicine of Wenzhou, Wenzhou 325000, Zhejiang, China |
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| 林忠勤 |
LIN Zhong-qin |
温州市中西医结合医院关节外科, 浙江温州 325000 |
Department of Joint Surgery, Integrated Hospital of Traditional Chinese and Western Medicine of Wenzhou, Wenzhou 325000, Zhejiang, China |
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| 谢海风 |
XIE Hai-feng |
温州市中西医结合医院关节外科, 浙江温州 325000 |
Department of Joint Surgery, Integrated Hospital of Traditional Chinese and Western Medicine of Wenzhou, Wenzhou 325000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2015年，第28卷，第3期，第210-213页 |
| DOI：10.3969/j.issn.1003-0034.2015.03.004 |
| 基金项目: |
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中文摘要:
目的:比较股骨颈骨折全髋置换术后放置真空负压引流瓶,不同负压下术后失血量的差异。
方法:选取2013年1月1日至2013年12月30日采用生物型全髋关节置换术治疗的74例股骨颈骨折患者,分成高负压引流组和低负压引流组。高负压引流组34例,男10例,女24例;平均年龄(75.94±9.02)岁;术毕放置60 kPa负压真空负压引流瓶。低负压引流组40例,男13例,女27例;平均年龄(74.93±8.90)岁;术毕放置30 kPa负压真空负压引流瓶。对术后伤口引流量、血红蛋白改变值、根据身高体重和手术前后红细胞压积(Hct)计算的所有患者总失血量等进行观察,并做统计学分析进行比较。
结果:两组患者术后切口均Ⅰ期愈合,无感染发生。术后第1天,高负压引流组血红蛋白改变值为(41.74±15.69) g/L,总失血量(1 217.73±459.50) ml,术后引流量(312.94±103.44) ml;低负压引流组血红蛋白改变值(34.90±12.90) g/L,总失血量(904.01±381.58) ml,术后引流量(129.25±44.25) ml,高负压引流组的数值均高于低负压引流组。术后3 d,高负压引流组血红蛋白改变值为(46.00±13.29) g/L,总失血量(1 304.72±421.75) ml;低负压引流组血红蛋白改变值为(43.87±11.39) g/L,总失血量(1 196.78±344.20) ml,两组差异无统计学意义。
结论:股骨颈骨折生物型全髋关节置换术后放置引流时,根据患者术前血红蛋白、红细胞压积等情况选择负压引流压力大小,老年性股骨颈骨折选择低负压引流更为合适。 |
| 【关键词】股骨颈骨折 关节成形术,置换,髋 引流术 失血,手术 病例对照研究 |
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| Case-control study on effects of vacuum drainage on perioperative blood loss after total hip arthroplasty for the treatment of femoral neck fractures |
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ABSTRACT
Objective:To compare postoperative blood loss under different negative pressures of drainage after total hip arthroplasty for the treatment of femoral neck fractures.
Methods:From January 1st to December 30th 2013,74 patients with femoral neck fractures treated with total hip arthroplasty were randomly divided into two groups:high negative pressure drainage group and low negative pressure drainage group. In high negative pressure drainage group,there were 34 cases including 10 males and 24 females,with a mean age of (75.94±9.02) years old,and the patients were treated with 60 kPa negative pressure of drainage. In the low negative pressure drainage group,there were 40 cases including 13 males and 27 females,with an average age of (74.93±8.90 ) years old,and the patients were treated with 30 kPa negative pressure of drainage. The amount of total drainage,total blood loss,and hemoglobin change were compared between these two groups.
Results:All the patients got primary healing without infections. In high negative pressure drainage group,the change of hemoglobin was(41.74±15.69) g/L,total blood loss was (1 217.73±459.50) ml and the drainage volume was(312.94±103.44) ml; while in low negative pressure drainage group,the results were(34.90±12.90) g/L,(904.01±381.58) ml and (129.25±44.25) ml separately. All the results in high negative pressure drainage group were higher than those in the other group. Three days after operation,the change of hemoglobin was (46.00±13.29) g/L and total blood loss was(1 304.72±421.75) ml; while in low negative pressure drainage group,the changes of hemoglobin was(43.87±11.39) g/L and total blood loss was(1 196.78±344.20) ml; there were no statistically significant differences between two groups.
Conclusion:When placing drainage devices after total hip arthroplasty for the treatment of femoral neck fractures,the level of negative pressure should be chosen according to preoperative level of hemoglobin and HCT in patients. For old patients with femoral neck fracture,low negative pressure is more suitable. |
| KEY WORDS Femoral neck fractures Arthroplasty,replacement,hip Drainage Blood loss,surgical Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 骆国钢,张鸿振,姚剑川,林忠勤,谢海风.股骨颈骨折生物型全髋关节置换术后放置真空负压引流对围手术期失血量影响的病例对照研究[J].中国骨伤,2015,28(3):210~213 |
| 英文格式: | LUO Guo-gang,ZHANG Hong-zhen,YAO Jian-chuan,LIN Zhong-qin,XIE Hai-feng.Case-control study on effects of vacuum drainage on perioperative blood loss after total hip arthroplasty for the treatment of femoral neck fractures[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(3):210~213 |
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