全膝关节置换术围手术期隐性失血的影响因素  

Influential Factors on Perioperative Hidden Blood Loss of Total Knee Arthroplasty

作　　者：强竞 高宏[2] QIANG Jing;GAO Hong(The First Clinical Medical College of Shanxi Medical University,Taiyuan 030001,China;Department of Orthopedics,the First Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学第一临床医学院,太原030001 [2]山西医科大学第一医院骨科,太原030001

出　　处：《医学综述》2021年第2期355-359,共5页Medical Recapitulate

摘　　要：人工全膝关节置换术(TKA)作为一种治疗终末期膝关节骨性关节炎的成熟术式,可以有效缓解膝关节疼痛、矫正膝关节畸形,改善膝关节功能,在全球范围内被广泛接受并应用。围手术期失血一直以来均是阻碍患者恢复的主要原因之一,而隐性失血(HBL)作为围手术期失血的主要组成部分,可以延长切口愈合时间,加重贫血程度,增加患肢深静脉血栓形成及切口感染的概率,影响患者术后功能康复锻炼,延长住院时间并加重患者的经济负担。因此,如何有效减少TKA围手术期HBL是目前临床研究的关键。Total knee arthroplasty(TKA)is a mature surgical method for the treatment of end-stage knee osteoarthritis,which can effectively relieve knee pain,correct knee deformity and improve knee function,and has been widely accepted and applied in the world.But the perioperative blood loss has long been one of the main reasons to hinder the recovery of the patients.And as its main component,hidden blood loss(HBL)can prolong the wound healing time,aggravate the degree of anemia,increase the probability of deep vein thrombosis and wound infection of the affected limb,affect the postoperative functional rehabilitation exercise of the patients,prolong the hospital stay and increase the economic burden of the patients.Therefore,how to effectively reduce perioperative HBL of TKA is a key point of the current clinical research.

关 键 词：全膝关节置换术 隐性失血 氨甲环酸 非酯化脂肪酸 止血带 

分 类 号：R687.4[医药卫生—骨科学]