中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
29期
51-52
,共2页
李华贵%常炳营%王伟%张丽欣%郑晓梅
李華貴%常炳營%王偉%張麗訢%鄭曉梅
리화귀%상병영%왕위%장려흔%정효매
局部应用%氨甲环酸%初次单侧全膝关节置换术%失血量
跼部應用%氨甲環痠%初次單側全膝關節置換術%失血量
국부응용%안갑배산%초차단측전슬관절치환술%실혈량
Local application%Tranexamic acid%Unilateral total knee arthroplasty%Blood loss
目的：探讨局部应用氨甲环酸对初次单侧全膝关节置换术出血量的影响。方法：收治骨性关节炎行单侧全膝关节置换术患者68例，分为两组各34例：A组：局部灌注氨甲环酸，B组：局部灌注生理盐水。结果：A组与B组相比较，术后24 h、48 h引流量以及术后48 h血红蛋白量、血红蛋白下降百分比差异均具有统计学意义(P＜0.05)。结论：在全膝关节置换术中局部应用氨甲环酸能明显减少患者失血量，且不增加静脉血栓形成的风险。
目的：探討跼部應用氨甲環痠對初次單側全膝關節置換術齣血量的影響。方法：收治骨性關節炎行單側全膝關節置換術患者68例，分為兩組各34例：A組：跼部灌註氨甲環痠，B組：跼部灌註生理鹽水。結果：A組與B組相比較，術後24 h、48 h引流量以及術後48 h血紅蛋白量、血紅蛋白下降百分比差異均具有統計學意義(P＜0.05)。結論：在全膝關節置換術中跼部應用氨甲環痠能明顯減少患者失血量，且不增加靜脈血栓形成的風險。
목적：탐토국부응용안갑배산대초차단측전슬관절치환술출혈량적영향。방법：수치골성관절염행단측전슬관절치환술환자68례，분위량조각34례：A조：국부관주안갑배산，B조：국부관주생리염수。결과：A조여B조상비교，술후24 h、48 h인류량이급술후48 h혈홍단백량、혈홍단백하강백분비차이균구유통계학의의(P＜0.05)。결론：재전슬관절치환술중국부응용안갑배산능명현감소환자실혈량，차불증가정맥혈전형성적풍험。
Objective:To investigate the effects of topical application of tranexamic acid for the blood loss after primary unilateral total knee arthroplasty.Methods:68 patients with osseous arthritis who had unilateral total knee arthroplasty were selected,they were divided into two groups with 34 cases in each:the A group:infusion of tranexamic acid,the B group:local perfusion of saline. Results:The A group compared with the B group,the difference of the postoperative 24h,48h lead traffic and the postoperative 48h hemoglobin,hemoglobin decreased rate had statistically significant(P<0.05).Conclusion:The topical application of tranexamic acid in total knee arthroplasty can decrease blood loss significantly and does not increase the risk of venous thrombosis.
