| 王 卓,张 琦,吴 奇,毕 龙,杨 旻,韩一生.全膝关节置换术后皮温与血清指标变化的相关性研究[J].,2018,(5):889-893 |
| 全膝关节置换术后皮温与血清指标变化的相关性研究 |
| The Relation between the Changes of Knee Skin Temperature and Serum Indices after Total Knee Arthroplasty |
| 投稿时间：2017-11-03 修订日期：2017-11-24 |
| DOI：10.13241/j.cnki.pmb.2018.05.019 |
| 中文关键词: 全膝关节置换术 膝关节皮温 血清指标 膝关节功能 |
| 英文关键词: Total knee arthroplasty Temperature of knee skin Serum indices Knee joint function |
| 基金项目:国家自然科学基金项目（81371932） |
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| 中文摘要: |
| 摘要 目的：研究膝骨性关节炎（knee osteoarthritis, KOA）患者行单侧全膝关节置换术手术前后膝关节皮温、血清指标的变化规律以及与膝关节功能恢复之间相关性。方法：将2016年9月-2017年3月在我院行单侧全膝关节置换术且术后未发生假体周围感染的患者作为研究对象，测量并记录基本信息、术前及术后膝关节皮温、血清指标及膝关节功能评分，并进行统计学分析。结果：本研究共收集病例65例，随访时间为6个月。双膝皮温、双膝皮温差于术后第5天达到峰值，PCT、CRP、ESR均于术后第3天达到峰值，IL-6、WBC于术后第1天达到峰值，HGB下降至最低水平为术后5-7天。患者非手术侧膝关节皮温于术后30天恢复至术前水平，而手术侧膝关节皮温及双膝皮温差直至术后6个月仍未恢复至术前水平；PCT、IL-6、CRP于术后60天恢复至术前水平，ESR于术后90天恢复至术前水平，WBC于术后15天恢复至术前水平。结论：KOA患者TKA术后双膝皮温差直至术后6月仍高于术前水平，而研究中的各项血清指标均于术后3月内恢复至术前水平。 |
| 英文摘要: |
| ABSTRACT Objective: To monitor the changes of knee skin temperature and serum indices for 180 days following total knee arthroplasty (TKA) of the patients with knee osteoarthritis (KOA) and find the relationship between the differential temperature and clini- cal outcome. Methods: Patients who attended for a unilateral TKA due to primary osteoarthritis between September 2016 and March 2017 were included in the study. The skin temperature of both knees was monitored preoperatively and postoperatively using an infrared thermometer. Serum indices and American knee society (KSS) knee scores were assessed. Results: Sixty-five patients were involved in the study and the follow-up time was 180 days. The skin temperature of both knees and were at their highest on Day 5; PCT,CRP, ESR were at their highest on Day 3;IL-6, WBC were at their highest on Day 1; HGB dropped to the lowest level on Day 5 to 7. The differential skin temperature and the skin temperature of operated knee didn ' t returned to preoperative values by Days 180, while the skin tempera- ture of contralateral knees was approximately at preoperative values by Days 30. PCT, Il-6, CRP returned back to preoperative levels by Days 60, ESR returned back to preoperative level by Days 90, and WBC returned back to preoperative levels by Days 15. Conclusion: After TKA, the differential skin temperature of the patients with KOA increased quickly, then decreased gradually, it was still higher than the preoperative level until 6months post-TKA, while these serum indices in the study returned back to preoperative levels by 3 months. |
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