全膝关节置换术后引流管拔除时机与局部皮温、软组织肿胀变化的临床研究  

Clinical study on removal timing of drainage tube,changes of local skin temperature and soft tissue swelling after total knee arthroplasty

作　　者：程兴龙 管伟荣 刘光炜 汪翠玲 李健 Cheng Xing-long;Guan Wei-rong;Liu Guang-wei;Wang Cui-ling;Li Jian(Department of Orthopedics,Shangrao People's Hospital,Shangrao 334000,Jiangxi,China)

机构地区：[1]上饶市人民医院骨科,江西上饶334000

出　　处：《四川生理科学杂志》2024年第6期1208-1210,1214,共4页Sichuan Journal of Physiological Sciences

基　　金：江西省卫生健康委科技计划(202312287)。

摘　　要：目的:探究全膝关节置换术后引流管拔除时机对局部皮温、软组织肿胀变化的影响。方法:选取2023年3月至2023年10月我院收治的90例骨性关节炎患者作为研究对象,根据全膝关节置换术后24 h拔除引流管还是48 h拔出引流管分为对照组和研究组,各45例。比较两组术后引流量、皮温、术后肢体肿胀周径、关节功能[膝关节协会评分(Knee society score,KSS)]的差异。结果:术后48 h,研究组的总引流量高于对照组(P<0.05);两组患者术后7 d、术后14 d的皮温较术后第1 d均有所下降,且研究组术后7 d、术后14 d的皮温均低于对照组(P<0.05);两组患者术后7 d肢体肿胀周径明显高于术前,术后14 d肢体肿胀周径低于术后7 d,且研究组术后7 d、术后14 d肢体肿胀周径均低于对照组(P<0.05);两组患者术后1 m关节功能KSS评分比术前较高,且研究组高于对照组(P<0.05)。结论:针对骨性关节炎患者,相较于24 h拔除组,术后48 h拔除引流管更有利于降低患者局部皮温和减少软组织肿胀,促进关节功能恢复。Objective:To explore the effects of drainage tube removal timing on changes of local skin temperature and soft tissue swelling after total knee arthroplasty(TKA).Methods:A total of 90 patients with osteoarthritis admitted to the hospital were enrolled as the research objects between March and October 2023.According to removal timing of drainage tube,they were divided into control group(24 hours after TKA)and study group(48 hours after TKA),45 cases in each group.The differences in postoperative drainage volume,skin temperature,postoperative circumference of limb swelling and joint function[Knee society score(KSS)]between the two groups were compared.Results:At 48 hours after surgery,total drainage volume in study group was more than that in control group(P<0.05).Compared with that at 1day after surgery,skin temperature was decreased in both groups at 7 days and 14 days after surgery.At 7 days and 14 days after surgery,skin temperature in study group was lower than that in control group(P<0.05).At 7 days after surgery,circumference of limb swelling was significantly increased in both groups,and which at 14 days after surgery was lower than that at 7 days after surgery.At 7 days and 14 days after surgery,circumference of limb swelling in study group was lower than that in control group(P<0.05).At 1 month after surgery,KSS was increased in both groups,and which was higher in study group than control group(P<0.05).Conclusion:Compared with 24 hours after TKA,removal of drainage tube at 48 hours after TKA is more beneficial to reduce local skin temperature and soft tissue swelling,and promote recovery of joint function in patients with osteoarthritis.

关 键 词：骨性关节炎 全膝关节置换术 引流管拔除 局部皮温 软组织肿胀 

分 类 号：R687.4[医药卫生—骨科学]