止血带的使用对全膝关节置换术中隐性失血的影响。
The effect of tourniquet use on hidden blood loss in total knee arthroplasty.
作者信息
Li Bin, Wen Yu, Wu Haishan, Qian Qirong, Lin Xiangbo, Zhao Hui
机构信息
Department of Orthopaedic Surgery, Arthritis Institute, Changzheng Hospital, Second Military Medical University, Shanghai, 200003, People's Republic of China.
出版信息
Int Orthop. 2009 Oct;33(5):1263-8. doi: 10.1007/s00264-008-0647-3. Epub 2008 Aug 27.
The objective of this study was to examine the characteristics of hidden blood loss and assess the effects of using a tourniquet on postoperative hidden loss in patients undergoing primary total knee arthroplasty. Eighty patients were randomised into two groups: one group underwent operation with a tourniquet and one without. Operating time, perioperative blood loss, hidden blood loss, free haemoglobin, swelling, ecchymosis, straight leg raising action and knee flexion were measured. There were significant differences in the hidden blood loss, free haemoglobin, postoperative swelling, extent of ecchymosis, straight leg raising and postoperative knee flexion in the early period after operation between the two groups. Our results indicate that knee arthroplasty operations with a tourniquet might promote postoperative hidden blood loss and hinder patients' in early postoperative rehabilitation exercises.
本研究的目的是探讨初次全膝关节置换术患者隐性失血的特点，并评估使用止血带对术后隐性失血的影响。80例患者被随机分为两组：一组使用止血带进行手术，另一组不使用。测量手术时间、围手术期失血量、隐性失血量、游离血红蛋白、肿胀、瘀斑、直腿抬高动作和膝关节屈曲度。两组患者术后早期的隐性失血量、游离血红蛋白、术后肿胀、瘀斑范围、直腿抬高和术后膝关节屈曲度存在显著差异。我们的结果表明，使用止血带进行膝关节置换手术可能会促进术后隐性失血，并阻碍患者术后早期康复锻炼。
Zotero 插件