| 人工关节置换术后假体周围感染与术前贫血的研究进展 |
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Received:June 25, 2017
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王伟 |
WANG Wei |
兰州军区兰州总医院全军骨科中心关节外科, 甘肃 兰州 730050 |
Department of Joint Surgery, Orthopaedics Center of PLA, Lanzhou General Hospital of Lanzhou Military Region, Lanzhou 730050, Gansu, China |
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| 刘军 |
LIU Jun |
兰州军区兰州总医院全军骨科中心关节外科, 甘肃 兰州 730050 |
Department of Joint Surgery, Orthopaedics Center of PLA, Lanzhou General Hospital of Lanzhou Military Region, Lanzhou 730050, Gansu, China |
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| 周胜虎 |
ZHOU Sheng-hu |
兰州军区兰州总医院全军骨科中心关节外科, 甘肃 兰州 730050 |
Department of Joint Surgery, Orthopaedics Center of PLA, Lanzhou General Hospital of Lanzhou Military Region, Lanzhou 730050, Gansu, China |
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| 李生贵 |
LI Sheng-gui |
兰州军区兰州总医院全军骨科中心关节外科, 甘肃 兰州 730050 |
Department of Joint Surgery, Orthopaedics Center of PLA, Lanzhou General Hospital of Lanzhou Military Region, Lanzhou 730050, Gansu, China |
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| 乔永杰 |
QIAO Yong-Jie |
兰州军区兰州总医院全军骨科中心关节外科, 甘肃 兰州 730050 |
Department of Joint Surgery, Orthopaedics Center of PLA, Lanzhou General Hospital of Lanzhou Military Region, Lanzhou 730050, Gansu, China |
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| 刘建 |
LIU Jian |
兰州军区兰州总医院全军骨科中心关节外科, 甘肃 兰州 730050 |
Department of Joint Surgery, Orthopaedics Center of PLA, Lanzhou General Hospital of Lanzhou Military Region, Lanzhou 730050, Gansu, China |
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| 甄平 |
ZHEN Ping |
兰州军区兰州总医院全军骨科中心关节外科, 甘肃 兰州 730050 |
Department of Joint Surgery, Orthopaedics Center of PLA, Lanzhou General Hospital of Lanzhou Military Region, Lanzhou 730050, Gansu, China |
zhenpingok@163.com |
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| 期刊信息：《中国骨伤》2018年31卷，第10期，第971-975页 |
| DOI：10.3969/j.issn.1003-0034.2018.10.019 |
| 基金项目:国家自然科学基金（编号：81371983）；甘肃省科技支撑计划（编号：S04671）；甘肃省青年科技基金（编号：1606RJYA300） |
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| 假体周围感染是人工关节置换术后最严重的并发症。流行病学调查发现，围术期贫血是造成假体周围感染的独立危险因素，其可通过影响细胞机制及自身免疫功能等多个方面发挥重要影响。既往国内外诸多学者对假体周围感染与术后贫血的关系进行研究，但对假体周围感染与术前贫血的相关性探讨较少。术前贫血可使红细胞表面的C3b受体减少，机体免疫功能降低，血源性感染增加，术后康复时间延长，进而诱发假体周围感染。故对于术前合并贫血的患者，除预防性使用抗生素外，术前应补充铁剂、配合促红细胞生成素积极纠正贫血、治疗影响血红蛋白生成的慢性并发症、提高患者自身的免疫状况、对符合输血指征的患者进行相应的输血治疗，从而更好地预防人工关节置换术后假体周围感染的发生，减少二次或多次翻修的概率。 |
| [关键词]:关节成形术,置换 假体相关感染 贫血 综述文献 |
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| Periprosthetic joint infection after artificial joint replacement and preoperative anemia |
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| Abstract:Periprosthetic joint infection is the most serious complication after artificial joint arthroplasty. Epidemiological investigation has indicated that perioperative anemia is an independent risk factor for periprosthetic joint infection,which could play an important role by suppressing cellular mechanisms and autoimmune functions. Many domestic and overseas scholars have studied the relationship between periprosthetic joint infection and postoperative anemia,but the relationship between preoperative anemia and periprosthetic joint infection is relatively rare. However,preoperative anemia can reduce the C3b receptor on surface of red blood cells,decrease immune function of the body,increase blood-borne infection,prolong postoperative rehabilitation time,and lead to periprosthetic joint infection. For patients with preoperative anemia,prophylactic antibiotics could be used to prevent. And complement chalybeate used before operation,correct anemia by hemopoietin,treat chronic complications influence by hemoglobin production and improve patient's own immune status,blood transfusion treatment for patients with blood transfusion indications are performed. It could be better prevent occurrence of periprosthetic joint infection after total joint arthroplasty,and reducing chance of secondary or multiple renovations. |
| KEYWORDS:Arthroplasty,replacement Prosthesis-related infections Anemia Review literature |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王伟,刘军,周胜虎,李生贵,乔永杰,刘建,甄平.人工关节置换术后假体周围感染与术前贫血的研究进展[J].中国骨伤,2018,31(10):971~975 |
| 英文格式: | WANG Wei,LIU Jun,ZHOU Sheng-hu,LI Sheng-gui,QIAO Yong-Jie,LIU Jian,ZHEN Ping.Periprosthetic joint infection after artificial joint replacement and preoperative anemia[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(10):971~975 |
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