| 高 磊,刘金钊,王英振,张永涛.初次膝关节置换术后放置引流管与否临床疗效的前瞻性对照研究[J].,2018,(6):189-1092 |
| 初次膝关节置换术后放置引流管与否临床疗效的前瞻性对照研究 |
| Clinical Effects of Primary Total Knee Arthroplasty with or without Drain: A Prospective Comparative Study |
| 投稿时间：2017-10-08 修订日期：2017-10-30 |
| DOI：10.13241/j.cnki.pmb.2018.06.018 |
| 中文关键词: 膝关节置换 引流管 临床疗效 并发症 |
| 英文关键词: Total knee arthroplasty Drain Clinical effects Complications |
| 基金项目:国家自然科学基金项目（81601875，81772329）；山东省自然科学基金项目（ZR2016HB33） |
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| 中文摘要: |
| 摘要 目的：分析对比初次膝关节置换术后放置和不放置引流管的临床疗效。方法：纳入2017年1月-2017年7月在青岛大学附属医院行初次膝关节双间室置换的患者107例(107膝)，其中术后放置引流管组（实验组）54例，术后不放置引流管组（对照组）53例。分别观察比较两组患者的一般临床资料、住院天数。术前和术后第3天血红蛋白、红细胞压积、视觉疼痛模拟评分、膝关节屈曲度数以及两组患者术后出现发热、伤口问题、 24 h内辅料渗透、输血情况的例数。结果：两组患者在年龄、性别组成、体重、身高、手术时间等一般临床资料之间以及术前血红蛋白、红细胞压积、视觉疼痛模拟评分、膝关节屈曲度数等方面均无明显差异（P ＞0.05）。术后实验组患者在血红蛋白、红细胞压积、膝关节屈曲度数均高于对照组（P＜0.05）。在视觉疼痛模拟评分上，实验组患者术后第1天低于对照组（P＜0.05），但术后第3天两组无明显差异（P＞0.05）。实验组患者的住院天数、输血患者的数量低于对照组，而发热例数明显高于对照组（P＜0.05）。结论：初次膝关节置换术后不放置引流管更有利于患者术后的早期康复，并减少患者术后输血率，而且不增加并发症的发生。 |
| 英文摘要: |
| ABSTRACT Objective: The aim of this study was to evaluate the clinical effects in patients who had undergone primary total knee arthroplasty (TKA) with or without a postoperative drain. Methods: A total of 107 patients (107 knees) underwent primary TKA in our hospital in 2017 was conducted. They were divided into two groups: A study group (n = 54), with no drainage and a control group (n = 53), with drainage. The baseline characteristics, hospital stay, hemoglobin, hematocrit, visual analogue scale scores, knee flexion, blood transfusion, fever, wound complications were recorded. Results: There were no significant difference in the baseline characteristics including age, gender, height, weight and time of operation between the two groups (P＞0.05). There were also no significant difference in hemoglobin, hematocrit, visual analogue scores, knee flexion before operation between the two groups (P＞0.05). However, the hemoglobin, hematocrit, and knee flexion after operation in study group were higher than that in control group (P＜0.05). The visual analogue scores in study group was lower than that in control group the first day after operation (P＜0.05) and was no difference between the two groups the third day after operation (P＞0.05). The time of hospital stay and blood transfusion after operation in study group was lower than that in control group (P＜0.05). The fever patients after operation in study group were more than that in control group (P＜0.05). Conclusion: TKA without drainage is benefit of recovery after operation, and reduce the blood transfusion rate, and do not increase the obvious adverse consequences. |
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