Wood Gavin C, Kapoor Amit, Javed Arshad
Blackpool Victoria Hospital, Blackpool, UK.
J Arthroplasty. 2008 Sep;23(6):808-13. doi: 10.1016/j.arth.2007.07.006. Epub 2008 Feb 13.
The use of wound drains in arthroplasty patients is controversial. This study was designed to assess the use of retransfusion drains in arthroplasty patients and prove the null hypothesis that there is no difference in postoperative hemoglobin levels or transfusion with their use. Eighty patients undergoing hip and knee arthroplasty were prospectively randomized to removal of the drain at 6 or 24 hours postoperatively, to assess the most efficient and beneficial use of such drains. There was no difference in hemoglobin drop, allogenic transfusion rates, hospital stay, complications, and rehabilitation. Wound healing appeared to be better in the 6-hour group for hip and knee patients. This study concludes that retransfusion drains offer no advantage in the arthroplasty patients' care.
在关节置换术患者中使用伤口引流管存在争议。本研究旨在评估再输血引流管在关节置换术患者中的使用情况，并证明术后血红蛋白水平或使用引流管输血方面无差异这一零假设。80例接受髋膝关节置换术的患者被前瞻性随机分为术后6小时或24小时拔除引流管组，以评估此类引流管的最有效和有益的使用方式。在血红蛋白下降、异体输血率、住院时间、并发症和康复方面没有差异。对于髋膝关节患者，6小时组的伤口愈合似乎更好。本研究得出结论，再输血引流管在关节置换术患者护理中没有优势。
