Aalto K, Osterman K, Peltola H, Räsänen J
Clin Orthop Relat Res. 1984 Apr(184):118-20.
Uncomplicated total hip arthroplasty (THA) was performed in 40 osteoarthritic patients, and changes in erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) levels were registered. The follow-up period was one year. Preoperative ESR appeared to be slightly elevated, and CRP levels were normal, with no exceptions. A postoperative maximum ESR of 64 mm/hour was reached six days after surgery. A slow decrease followed, but ESR remained slightly elevated one year later. The changes in CRP were more rapid; a maximum of 134 mg/l was registered on the second day after surgery, and the values were consistently normalized three weeks after surgery. Thus, uneventful recovery after THA seems to be indicated by a normalizing CRP, regardless of ESR values.
对40例骨关节炎患者实施了单纯全髋关节置换术（THA），并记录了红细胞沉降率（ESR）和C反应蛋白（CRP）水平的变化。随访期为一年。术前ESR似乎略有升高，而CRP水平均正常，无一例外。术后第6天ESR达到术后最高值64毫米/小时。随后缓慢下降，但一年后ESR仍略有升高。CRP的变化更为迅速；术后第二天最高值达到134毫克/升，术后三周这些值持续恢复正常。因此，无论ESR值如何，CRP恢复正常似乎表明THA术后恢复顺利。
