骨质疏松对人工股骨头置换术后隐性失血的影响
摘要
目的:探讨骨质疏松对人工股骨头置换患者术后隐性失血的影响。方法:选取我院骨科2016年1月至2018年1月因新鲜股骨颈骨折行人工股骨头置换术治疗的患者为研究对象,所有手术均由同一组医师完成。根据术前骨密度T值的差异选取46例患者分为2组:骨量正常组(n=20)和骨质疏松组(n=26),比较两组的显性失血量、隐性失血量及总失血量。结果:两组显性失血量比较,差异无统计学意义(P>0.05),而在隐性失血量和总失血量,骨质疏松组明显高于骨量正常组,差异均具有统计学意义(P<0.05)。结论:骨质疏松增加人工股骨头置换术患者的隐性失血量,临床医师们应给予高度重视。
引文
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[7]张勇,鲍磊,孙小草等.老年患者半髋关节置换围手术期隐性失血与功能锻炼的相关性研究[J].创伤外科杂志,2018,20(2):103-106.
[8]Doshi SB,Agarwal A.The role of oxidative stress in menopause[J].J Midlife Health,2013,4(3):140-146.
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[11]刘东成,肖贞,王文祥.新生儿黄疸光疗时氧自由基对光疗致溶血的影响[J].中国小儿血液,2005,3:125-128.1986-
[2]Gross JB.Estimating allowable blood loss:corrected for dilution[J].Anesthesiology,1983,58(3):277-280.
[3]Nadler SB,Hidalgo JH,Bloch T.Predicion of blood volume in normal human adults[J].Surgery,1962,51(2):224-32.
[4]Sehat KR,Evans R,Newman JH.How much blood is really lost in total knee arthroplasty?Correct blood loss management should take hidden loss into account[J].Knee,2000,7(3):151-155.
[5]Smith GH,Tsang J,Molyneux SG,et al.The hidden blood loss after hip fracture[J].Injury,2011,42(2):133-135.
[6]李志鲲,沈光思,李一凡等.老年髋部骨折术后隐性失血量的影响因素分析[J].现代仪器与医疗,2018,24(3):75-76.
[7]张勇,鲍磊,孙小草等.老年患者半髋关节置换围手术期隐性失血与功能锻炼的相关性研究[J].创伤外科杂志,2018,20(2):103-106.
[8]Doshi SB,Agarwal A.The role of oxidative stress in menopause[J].J Midlife Health,2013,4(3):140-146.
[9]Wilson C.Bone:Oxidative stressand osteoporosis[J].Nat Rev Endocrinol,2014,10(1):3.
[10]Bao N,Zhou L,Cong Y,et al.Free fatty acids are responsible for the hidden blood loss in total hip and knee arthroplasty[J].Med Hypotheses,2013,81(1):104-107.
[11]刘东成,肖贞,王文祥.新生儿黄疸光疗时氧自由基对光疗致溶血的影响[J].中国小儿血液,2005,3:125-128.1986-