氨甲环酸局部应用于单侧全膝关节表面置换术效果观察及价值研究
摘要
目的研究在单侧全膝关节表面置换术中给予患者局部应用氨甲环酸的临床疗效与价值。方法将2014年2月~2016年9月收治的80例初次行单侧全膝关节表面置换术患者按照随机数字表法分为观察组(行氨甲环酸)与对照组(行等剂量生理盐水),对比两组的效果差异。结果两组患者的伤口为一期愈合,彩色多普勒超声检查结果显示无下肢深静脉栓塞发生。对照组25例患者补充血容量,观察组仅8例。观察组术中失血量与术后显性、隐性失血量均少于对照组(P<0.05)。观察组患者术后第1、3、5天的血红蛋白均高于对照组(P<0.05)。对照组患者术后第1、3、5天的红细胞比容小于观察组(P<0.05)。结论氨甲环酸局部应用于单侧全膝关节表面置换术能够促进伤口愈合,缩短愈合时间,缓解患者下肢深静脉栓塞情况,减少失血量。
引文
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[3]孙美妮.全膝关节表面置换术35例术中配合.泰山医学院学报,2016,37(11):1312-1313.
[4]李杰.全膝关节表面置换术潜在风险因素评估与护理对策的应用进展.护理实践与研究,2015,21(10):19-20.
[5]Matsumoto T.,Muratsu H.,Kubo S.,et al.Intra-operative joint gap kinematics in unicompartmental knee arthroplasty.Clin Biomech(Bristol,Avon),2013,28(1):29-33.
[6]Mc Ginnis K.,Snyder-Mackler L.,Flowers P.,et al.Dynamic joint stiffness and co-contraction in subjects after total knee arthroplasty.Clin Biomech(Bristol,Avon),2013,28(2):205-210.
[7]Smith J.R.,Rowe P.J.,Blyth M.,et al.The effect of electromagnetic navigation in total knee arthroplasty on knee kinematics during functional activities using flexible electrogoniometry.Clin Biomech(Bristol,Avon),2013,28(1):23-28.
[8]张晓强,高菲菲,段小波.单侧全膝关节表面置换术中局部应用氨甲环酸效果观察.山东医药,2014,54(39):77-78.