| 温热液体在防旋股骨近端髓内钉内固定术中的应用 |
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投稿时间：2018-06-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 顾翔 |
GU Xiang |
南京市溧水区人民医院, 江苏 南京 211200 |
Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
kentgx800228@163.com |
| 陆海涛 |
LU Hai-tao |
南京市溧水区人民医院, 江苏 南京 211200 |
Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
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| 赵乐 |
ZHAO Le |
南京市溧水区人民医院, 江苏 南京 211200 |
Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
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| 陈林 |
CHEN Lin |
南京市溧水区人民医院, 江苏 南京 211200 |
Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
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| 陈优民 |
CHEN You-min |
南京市溧水区人民医院, 江苏 南京 211200 |
Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
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| 期刊信息：《中国骨伤》2019年，第32卷，第2期，第101-104页 |
| DOI：10.3969/j.issn.1003-0034.2019.02.002 |
| 基金项目: |
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中文摘要:
目的：探讨防旋股骨近端髓内钉（proximal femoral nail antirotation，PFNA）内固定术中应用温热液体对患者的影响和效果。
方法：自2012年11月至2016年12月，采取PFNA内固定术治疗股骨转子间骨折患者80例，其中男35例，女45例；年龄62~90岁。将患者分为两组，40例患者术中给予常温液体（22~24℃）输注及冲洗作为常温液体组，40例患者术中给予温热液体（36.5~37.5℃）输注及冲洗作为温热液体组。对两组患者的C-反应蛋白、术中出血量、体温情况、寒战发生情况进行统计分析。
结果：温热液体组患者低体温、寒战发生率较对照组明显减低（P<0.05），术中出血量、C-反应蛋白明显减少（P<0.05）。
结论：PFNA内固定术中应用温热液体输注及冲洗，可有效降低患者低体温、寒战的发生，减少术中出血量及手术部位感染率，提高患者舒适度，更好的保障患者安全。 |
| 【关键词】温热液体 股骨转子间骨折 骨折固定术,髓内 |
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| Application of warm liquid in proximal femoral nail antirotation (PFNA) internal fixation |
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ABSTRACT
Objective: To investigate the effect and application of warm fluid in patients with proximal femoral nail antirotation (PFNA) internal fixation.
Methods: From November 2012 to December 2016, 80 patients with femoral intertrochanteric fracture were treated with PFNA internal fixation, including 35 males and 45 females, aged from 62 to 90 years old. The patients were divided into two groups. In the control group 40 patients were infused and rinsed at the normal temperature liquid (22 to 24℃) during the operation;in the experimental group 40 patients were infused and rinsed at warm liquid (36.5 to 37.5℃). The amount of bleeding, the temperature, the occurrence of shiver and the C-reaction protein in the two groups were analyzed.
Results: The incidence of hypothermia and shiver in the experimental group was significantly lower than that in the control group (P<0.05). The amount of intraoperative bleeding and C-reaction protein were significantly decreased (P<0.05).
Conclusion: The application of warm liquid infusion and flushing in PFNA internal fixation can effectively reduce the incidence of hypothermia and shiver, reduce the amount of bleeding in the operation and the infection rate of the surgical site, improve the comfort of the patients, and ensure the safety of the patients. |
| KEY WORDS Warm liquid Femoral intertrochanteric fractures Fracture fixation,intramedullary |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 顾翔,陆海涛,赵乐,陈林,陈优民.温热液体在防旋股骨近端髓内钉内固定术中的应用[J].中国骨伤,2019,32(2):101~104 |
| 英文格式: | GU Xiang,LU Hai-tao,ZHAO Le,CHEN Lin,CHEN You-min.Application of warm liquid in proximal femoral nail antirotation (PFNA) internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(2):101~104 |
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