丁罗宾;赵佳;关健;李锋;聂喜增;谢磊;王华军;郑小飞;梁兴森;

• 1:石家庄市第三医院关节外科
• 2:河北省血液中心配型科
• 3:暨南大学附属第一医院
• 4:广东省第二人民医院康复医学科

摘要(Abstract)：

[目的]探讨糖尿病(DM)对初次全膝关节置换术围手术期失血量及术后功能康复的影响。[方法]回顾总结在本院行初次TKA治疗且符合纳入标准的膝骨关节炎病例269例,归为糖尿病组114例,非糖尿病组155例。比较两组围手术期失血量、住院时间、VAS评分等,采用HSS评分评价两组患者的术后功能。[结果]术后3 d糖尿病组的Hb及Hct均显著低于非糖尿病组(P<0.05),糖尿病组的显、隐性失血量及理论总失血量均多于非糖尿病组,差异有统计学意义(P<0.05)。糖尿病组病例住院时间显著长于非糖尿病组(P<0.05)。术后3 d时糖尿病组VAS评分和患肢肿胀程度均大于非糖尿病组,差异有统计学意义(P<0.05)。术后4周时糖尿病组HSS评分显著低于非糖尿病组(P<0.05),但术后12周时两组间差异无统计学意义(P>0.05)。所有患者均无切口感染、症状性肺栓塞等并发症。[结论] DM可使TKA围手术期出血量增加,并延缓术后功能恢复。

关键词(KeyWords)： 膝骨关节炎;糖尿病;全膝关节置换;失血量;早期结果

Abstract:

Keywords:

基金项目(Foundation): 中国博士后科学基金资助项目(编号:2015M582480,2017T100660);; 广东省自然科学基金项目(编号:2016A030313100);; 国家自然科学基金项目(编号:81601219)

作者(Author): 丁罗宾;赵佳;关健;李锋;聂喜增;谢磊;王华军;郑小飞;梁兴森;

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DOI:

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