CAJ | 학술논문

目的:研究全膝关节置换术(Total knee arthroplasty,TKA)后两种不同的引流管使用方法对术后患者出血的影响.方法:收集2012年9-12月本科室同一主刀采取膝关节正中入路、沿髌内侧缘切开关节囊术式的病例35例,术后根据不同的引流管开放形式随机分为两组.实验组18例采用术后关闭引流管4 h以上,患者自觉胀痛后再予以开放,对照组17例术后引流管处于自然开放引流状态,观察两组术后6、12、24、48 h的引流量,术后1、3、5 d的体温,切口愈合时间及出院时HSS评分.结果:实验组引流量明显少于对照组,差异具有统计学意义(P<0.05).术后各时间点平均体温、切口愈合时间及出院时HSS功能评分两组比较差异无统计学意义(P>0.05).结论:全膝关节置换术后先关闭引流管4 h以上可明显减少术后出血.
목적:연구전슬관절치환술(Total knee arthroplasty,TKA)후량충불동적인류관사용방법대술후환자출혈적영향.방법:수집2012년9-12월본과실동일주도채취슬관절정중입로、연빈내측연절개관절낭술식적병례35례,술후근거불동적인류관개방형식수궤분위량조.실험조18례채용술후관폐인류관4 h이상,환자자각창통후재여이개방,대조조17례술후인류관처우자연개방인류상태,관찰량조술후6、12、24、48 h적인류량,술후1、3、5 d적체온,절구유합시간급출원시HSS평분.결과:실험조인류량명현소우대조조,차이구유통계학의의(P<0.05).술후각시간점평균체온、절구유합시간급출원시HSS공능평분량조비교차이무통계학의의(P>0.05).결론:전슬관절치환술후선관폐인류관4 h이상가명현감소술후출혈.
Objective:To observe whether the temporarily-closed(4 h)wound drainage tube is more effective than the conventional drainage after total knee arthoplasty(TKA).Method:35 casesshu with total knee arthoplasty were randomly divided into observation group and control group. The drainage tube in observation group was closed 4 hours after the surgery while the drainage tube was kept open in control group.The volume of wound drainage 6,12,24, 48 h after the surgery was recorded and analyzed.The average temperature in 1,3,5 d after the surgery was recorded and analyzed.Result:Average volume of wound drainage in observation groups 6,12,24,48 h after surgery was significantly less than that of control group. No significant differences existed in average temperature,scores of knee joint function and wound complications among two groups.Conclusion:Keep tube close for 4 h can effectively decrease the volume of bleeding.no adverse effects on healing of incision and knee unctional recovery exist after total knee arthoplasty.