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骨水泥型半髋关节置换术中加压注入骨水泥对心肺参数的影响：一项随机前瞻性研究

Effect of Pressurized Cement Insertion on Cardiopulmonary Parameters during Cemented Hip Hemiarthroplasty: A Randomized Prospective Study.

作者信息

Song Woo Suk, Choi Joon Cheol, Kim Tae Hyun, Oh Sang Hoon, Park Sub Ri, Park Byoung Hark

机构信息

Department of Orthopedic Surgery, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea.

Department of Anesthesiology, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea.

出版信息

Hip Pelvis. 2014 Dec;26(4):243-9. doi: 10.5371/hp.2014.26.4.243. Epub 2014 Dec 31.

DOI:10.5371/hp.2014.26.4.243
PMID:27536588
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4971400/
Abstract

PURPOSE

We aimed to investigate the cardiopulmonary effects of pressurized cement insertion in elderly patients undergoing cemented hip hemiarthroplasty.

MATERIALS AND METHODS

We conducted a randomized prospective study on elderly patients undergoing cemented hip hemiarthroplasty. Patients were divided into pressurized and non-pressurized groups based on the pressure application during cement insertion. We measured mean arterial blood pressure (MAP), systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), arterial blood gases and serotonin concentration in blood. These variables were measured before bone cement insertion, and 3 and 5 minute after insertion. They were also measured immediately and 15 minutes after reduction.

RESULTS

In cemented hip hemiarthroplasty, there were no significant change in MAP (P=0.92), SBP (P=0.85), DBP (P=0.98), HR (P=0.97) and serotonin concentration over time. There were no statistically significant difference between the two groups in MAP, SBP, DBP, HR, PO2, PaCO2, SaO2 and serotonin concentration, though three minutes after cement insertion, both groups showed decreases in SBP, DBP and MBP.

CONCLUSION

The pressurization method in cemented hip hemiarthroplasty was not found to be related with development of bone cement syndromes in elderly patients.

摘要

目的

我们旨在研究在接受骨水泥型半髋关节置换术的老年患者中，骨水泥加压注入对心肺功能的影响。

材料与方法

我们对接受骨水泥型半髋关节置换术的老年患者进行了一项随机前瞻性研究。根据骨水泥注入过程中是否施加压力，将患者分为加压组和非加压组。我们测量了平均动脉压（MAP）、收缩压（SBP）、舒张压（DBP）、心率（HR）、动脉血气以及血液中的血清素浓度。这些变量在骨水泥注入前、注入后3分钟和5分钟进行测量。在复位后即刻和15分钟也进行了测量。

结果

在骨水泥型半髋关节置换术中，MAP（P = 0.92）、SBP（P = 0.85）、DBP（P = 0.98）、HR（P = 0.97）和血清素浓度随时间无显著变化。两组在MAP、SBP、DBP、HR、PO2、PaCO2、SaO2和血清素浓度方面无统计学显著差异，尽管在骨水泥注入后三分钟，两组的SBP、DBP和MBP均有所下降。

结论

在骨水泥型半髋关节置换术中，未发现加压方法与老年患者骨水泥综合征的发生有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e94/4971400/ce86e11aa4ba/hp-26-243-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e94/4971400/32bf7330f650/hp-26-243-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e94/4971400/fd055188f3ed/hp-26-243-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e94/4971400/0f5e8b42f5ee/hp-26-243-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e94/4971400/4d33178ee21f/hp-26-243-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e94/4971400/ce86e11aa4ba/hp-26-243-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e94/4971400/32bf7330f650/hp-26-243-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e94/4971400/fd055188f3ed/hp-26-243-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e94/4971400/0f5e8b42f5ee/hp-26-243-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e94/4971400/4d33178ee21f/hp-26-243-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e94/4971400/ce86e11aa4ba/hp-26-243-g005.jpg

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