加速康复模式下初次全髋关节置换术后引流与不引流比较Comparison of drainage and non-drainage in primary total hip arthroplasty with enhanced recovery after surgery program
张成年;刘明廷;李健;徐闯;曹恒;王林伟;
摘要(Abstract):
[目的]评价加速康复模式下初次全髋关节置换术(total hip arthroplasty, THA)后,不放置引流管的安全性和有效性。[方法]选择本科室2018年1月~2018年10月加速康复外科模式下初次THA患者120例,随机分为引流组和无引流组,每组各60例。引流管术后24 h拔除。比较两组患者术前和术后血红蛋白、红细胞压积差值、输血率、术后VAS评分、并发症等指标的差异。[结果]两组患者在性别、年龄、体重、身高、手术侧别等基线资料上差异无统计学意义。引流组引流量为(205.28±113.35) ml,两组血红蛋白和红细胞压积术前术后、输血率等指标比较,差异无统计学意义(P>0.05)。两组术后24、48、72 h VAS评分比较,差异无统计学意义(P>0.05)。两组术后并发症差异无统计学意义(P>0.05)。[结论]本研究提示在加速康复模式下,初次THA术后放置引流管并不优于不放置引流管。
关键词(KeyWords): 全髋关节置换;加速康复;引流
基金项目(Foundation): 山东省自然科学基金项目(编号:ZR2015PH006);; 山东省医药卫生科技发展计划项目(编号:2017WS040)
作者(Author): 张成年;刘明廷;李健;徐闯;曹恒;王林伟;
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