全髋置换术后CRP和ESR变化的临床观察  

Clinical observation of erythrocyte sedimentation rate, C- reactive protein after total hip arthroplasty

作　　者：曾意荣[1] 李显澎[1] 吴凡[1] 樊粤光[1] 

机构地区：[1]广州中医药大学第一附属医院髋中心,广东广州510405

出　　处：《国际医药卫生导报》2008年第7期14-17,共4页International Medicine and Health Guidance News

摘　　要：目的 观察全髋置换术后C反应蛋白和血沉的变化，探讨二者在全髋置换术后体现的临床意义。方法 我们对29例全髋置换术后的C反应蛋白和血沉进行分时间点监测并分析。结果 全髋置换术使C反应蛋白和血沉增高．当感染控制良好时，血沉第7天左右达到高峰，然后逐渐下降，在术后3个月恢复接近正常水平16．089mm／h，C反应蛋白术后急剧增高，第1天左右达到高峰，然后迅速下降，在术后1个月全部恢复正常5．325mg／L。结论 二者对于全髋置换术的感染监控和预防具有一定意义。Objective to observe the CRP and ESR changes after THA, We discuss the their clinical meaning following THA. Methods we observed the CRP and ESR changes of 29 patients undergoing THA and analyzed at different time. Results the operation injury can raise the ESR and CRP. when infection is controlled well, ESR reach peak in one week, then drop slowly and drop to near normal level ：16.089mm/h in three months, CRP raise rapidly after operation and reach peak in one day, then drop rapidly and become normal in one month：5.325 mg/L. Conelusion We consider these two index are very important in monitoring and control infection during the THA.

关 键 词：全髋置换 C反应蛋白 血沉 

分 类 号：R687[医药卫生—骨科学]