关节置换病人术后放置引流的回顾性比较研究  

Postoperative drains in total joint replacement patients retrospective comparative studies

作　　者：杨峰[1] 杨立春[1] 韩秀英[1] 马东升[1] 李强[1] 崔斌[1] 

机构地区：[1]黑龙江省大庆龙南医院骨科,黑龙江大庆163453

出　　处：《中国伤残医学》2015年第14期8-9,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：评估关节置换病人术后放置引流对病人术后康复的影响。方法：在2012年1月～2014年1月期间共126例接受髋膝置换的病例平均分成2组，性别分布及抗凝血的使用在2组相似，所有病人接受同一组外科医生手术治疗，术后常规给予肝素抗凝7天。结果：在全膝关节置换术的患者中，术后引流组血红蛋白平均下降2．8％，非引流组下降2．6％．在髋关节置换术患者中，术后引流组血红蛋白平均下降3．8％，非引流组下降3．7％．在术后比较患者血红蛋白下降和输血要求方面2组间无显著差异（p ＞0．05）。2组在住院时间、术后康复方面没有显著差异（p ＞0．05）。结论：在简单的初次髋膝关节置换术后引流不是必须的。Objective：To evaluate the benefits of suction drainage following primary total joint arthroplasty.Methods：In 2012, 1-2014, 1 a total of 126 patients who underwent hip and knee replacement cases on average were divided into 2 groups.Gender distribution and the use of anticoagulation in two groups of similar.All patients received the same team of surgeons surgical treatment, postoperative administration of heparin anticoagulation for 7 days.Results：In total knee arthroplasty in patients with postoperative drains group haemo-globin decreased by 2.8%, non-drainage Group 2.6%.Total hip replacement in patients with postoperative drainage group haemoglo-bin decreased by 3.8%, non-drainage Group 3.7%.postoperative comparison did not differ significantly between the two groups （p 〉0.05）. Rehabilitation after hospitalization, patients in both groups had no significant differences （p 〉0.05）.Conclu sion：The routine use of a suction drains should be unnecessary after an uncomplicated total joint arthroplasty .

关 键 词：关节置换 引流 

分 类 号：R687.4[医药卫生—骨科学]