韩宁;姚建华;黄炎;李海鹏;孙维;王易彬;

• 1:安徽医科大学北京军区总医院临床学院
• 2:北京军区总医院骨科

摘要(Abstract)：

[目的]研究高血压对全膝关节置换术围手术期出血的影响。[方法]回顾性分析2013年1月~2014年12月于本院关节外科接受全膝关节置换的患者,从中严格筛选符合本研究的病例126例,根据患者有无高血压病史及围手术期血压值分为高血压组和正常组,记录患者性别、年龄、身高、体重、围手术期血压、血红蛋白(Hb)、红细胞压积(Hct)、术后引流量、自体引流血回输量、术后输血量。运用Gross方程计算总出血量、隐性出血量。[结果]高血压组与正常组相比总出血量、隐性出血量差异有统计学意义(P=0.03,P=0.04),正常组男性与女性相比总出血量、隐性出血量及Hb下降差异有统计学意义(P=0.002,P=0.016,P=0.04),高血压组男性出血量与女性出血量差异无统计学意义(P=0.735)。[结论]高血压可明显增加全膝关节置换患者围手术期总出血量及隐性出血量。

关键词(KeyWords)： 全膝关节置换术;高血压;出血

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 韩宁;姚建华;黄炎;李海鹏;孙维;王易彬;

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参考文献(References)：

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