[1]孙 磊.全髋关节置换及全膝关节置换术后隐性失血的研究[J].医学信息,2021,34(14):60-62.[doi:10.3969/j.issn.1006-1959.2021.14.017]
　SUN Lei.Research on Hidden Blood Loss After Total Hip Replacement and Total Knee Replacement[J].Medical Information,2021,34(14):60-62.[doi:10.3969/j.issn.1006-1959.2021.14.017]
点击复制

全髋关节置换及全膝关节置换术后隐性失血的研究()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年14期
页码:
60-62
栏目:
综述
出版日期:
2021-07-15

文章信息/Info

Title:
Research on Hidden Blood Loss After Total Hip Replacement and Total Knee Replacement
文章编号:
1006-1959（2021）14-0060-03
作者:
孙 磊
（天津港口医院骨科，天津 300450）
Author(s):
SUN Lei
(Department of Orthopedics,Tianjin Port Hospital,Tianjin 300450,China)
关键词:
全髋关节置换; 全膝关节置换; 隐性失血
Keywords:
Total hip replacement; Total knee replacement; Hidden blood loss
分类号:
R687.4
DOI:
10.3969/j.issn.1006-1959.2021.14.017
文献标志码:
A
摘要:
全髋关节置换及全膝关节置换术是临床治疗股骨颈骨折、股骨头坏死、重度髋骨性关节炎的有效手段，但是手术后患者多伴有贫血症状，可能影响机体功能恢复速度，严重者会导致手术失败。术后对失血量估计不准确，尤其严重贫血患者不能及时输血治疗，会导致机体免疫力下降，严重影响功能恢复和术后预后。本文就全髋关节置换及全膝关节置换术后隐性失血发生机制、影响因素和预防措施作一综述，以期为全髋关节置换及全膝关节置换术在临床的良好应用奠定一定理论基础。
Abstract:
Total hip replacement and total knee replacement are effective methods for clinical treatment of femoral neck fractures, femoral head necrosis, and severe hip osteoarthritis.However, after surgery, patients often have symptoms of anemia, which may affect the speed of body function recovery, and severe cases will lead to failure of the operation.The estimation of blood loss after operation is inaccurate, especially in patients with severe anemia who cannot be treated with blood transfusion in time, which will lead to a decline in the body’s immunity, which will seriously affect functional recovery and postoperative prognosis.This article summarizes the mechanism, influencing factors and preventive measures of hidden blood loss after total hip replacement and total knee replacement, in order to lay a certain theoretical foundation for the good clinical application of total hip replacement and total knee replacement.

参考文献/References:

[1]黄家谷,张克,田华,等.单侧初次全膝关节置换后隐性失血的因素分析[J].中国组织工程研究,2016,20(26):3823-3829. [2]袁磊,包倪荣,赵建宁,等.同一患者分期行关节置换围置换期失血的比较[J].中国组织工程研究,2015,18(48):7732-7738. [3]李少斐,郭亭,赵建宁,等.围髋关节置换期隐性失血相关危险因素及预后[J].中国组织工程研究,2014,18(13):2006-2011. [4]Jun M,Ze YH,Bin S,et al.Blood management of staged bilateral total knee arthroplasty ina single hospitalization period[J].Journal of Orthopaedic Surgery and Research,2014,13(9):116-122. [5]徐海永,张明,方怀玺,等.初次全髋关节置换后的隐性失血影响因素分析[J].中国组织工程研究,2015,19(13):1974-1978. [6]杨笛,李进悦,黄明,等.蛋壳膝关节置换治疗单间室膝关节骨关节炎(附8例报告)[J].淮海医药,2015,33(1):24-27. [7]李健民.单髁膝关节置换治疗老年膝关节骨关节炎的临床疗效观察[J].现代诊断与治疗,2015,26(4):939-940. [8]Liu J,Li YM,Cao JG,et al.Effects of knee position on blood lossfollowing total knee arthroplasty:a randomized,controlled study[J].Orthop Surg Res,2015(10):69. [9]刘国印,朱冬梅,张勇,等.围手术期康复功能锻炼预防全髋关节置换术后隐性失血的效果研究[J].中华外科杂志,2016,54(4):258. [10]刘安民,吕曼曼,李玲玲,等.氨甲环酸预防不稳定股骨粗隆间骨折双极人工股骨头置换术隐性失血的效果[J].创伤外科杂志,2019,21(6):471. [11]张扩,卢金忠.抗凝药物对人工全膝关节置换术后输血率的影响[J].滨州医学院学报,2017,40(2):152-153 [12]王军.髋关节置换术在治疗老年股骨颈骨折中隐性失血的分析[J].检验医学与临床,2018,15(21):3209. [13]Lee QJ,Chang WY,Wong YC.Blood-sparing efficacy of oral tranexamic acid in primary total hip arthroplasty[J].J Arthroplasty,2017,32(1):139-142. [14]苗绍刚.三种抗凝药物在髋膝关节置换术后预防静脉血栓性疾病的对比研究[D].昆明医科大学,2014. [15]李育康.阿司匹林与低分子肝素预防人工髋膝关节置换术后深静脉血栓的效果比较[J].临床合理用药杂志,2020,13(4):94-95. [16]李军,荆珏华,史占军,等.利伐沙班对全髋关节置换术隐性出血影响的病例对照研究[J].中国骨伤,2014,27(1):34-37. [17]殷振华,董辉辉,陈轲,等.隐性失血对全膝关节置换术后膝关节功能的影响[J].实用骨科杂志,2016,22(2):118. [18]丛宇,曾晓峰,包倪荣,等.人工关节置换术后隐性失血的影响因素及相关机制[J].医学研究生学报,2015,24(6):611-614. [19]Yuan T,Fan WB,Cong Y,et al.Linoleic acid induces red blood cells and hemoglobin damage via oxidative mechanism[J].Int J Clin Exp Pathol,2015,8(5):5044-5052. [20]傅维德,米东,张旭,等.全髋关节置换术后隐性失血的危险因素分析[J].中国骨与关节损伤杂志,2019,34(2):44-46. [21]王云龙,甄平.单侧全膝关节置换围置换期的隐性失血:问题与特点[J].中国组织工程研究,2018,22(11):1786. [22]Zou Y,Tian S,Wang Y,et al.Administering aspirin,rivaroxaban and low-molecular-weight heparin to prevent deep venous thrombosis after total knee arthroplasty[J].Blood Coagul Fibrinolysis,2014,25(7):660-664. [23]汪号广,赵刚.全髋关节、全膝关节置换术后隐性失血情况分析[J].临床研究,2018,26(6):127. [24]袁磊,郭亭,赵建宁.膝关节置换术后对隐性失血的认识[J].医学研究生学报,2014,27(10):1103-1106. [25]蔡俊,顾晓民.全膝关节置换术后不同时机抗凝药物使用疗效和安全性的评价[J].浙江医学,2016,38(6):433-434. [26]侯振扬,孙义玲,庞涛,等.氨甲环酸两种不同用药方式对全髋关节置换围手术期失血量的影响:前瞻性,开放性,随机对照临床试验[J].中国组织工程研究,2017,21(15):2314-2319. [27]张忠岩,李玉波,王瑜,等.不同方式应用氨甲环酸对PFNA治疗老年不稳定股骨转子间 骨折围手术期失血量研究[J].创伤外科杂志,2019,21(2):60-63. [28]马腾.阿哌沙班和利伐沙班在全膝关节表面置换术后抗凝效果的对比[D].重庆医科大学,2015.

相似文献/References:

[1]庞永华,陈伟南,许科峰,等.TKA应用氨甲环酸后序贯应用两种新型口服抗凝药预防VTE的疗效对比[J].医学信息,2022,35(09):100.[doi:10.3969/j.issn.1006-1959.2022.09.025]
　PANG Yong-hua,CHEN Wei-nan,XU Ke-feng,et al.Comparison of Efficacy of Sequential Application of Two New Oral Anticoagulants in the Prevention of VTE After Application of Tranexamic Acid in TKA[J].Medical Information,2022,35(14):100.[doi:10.3969/j.issn.1006-1959.2022.09.025]
[2]何 浓,张永胜,熊福生,等.老年骨质疏松症全髋关节置换后假体无菌性松动的药物防治研究[J].医学信息,2022,35(12):77.[doi:10.3969/j.issn.1006-1959.2022.12.018]
　HE Nong,ZHANG Yong-sheng,XIONG Fu-sheng,et al.Study on Drug Prevention and Treatment of Aseptic Loosening of Prosthesis After Total Hip Arthroplasty in Senile Osteoporosis[J].Medical Information,2022,35(14):77.[doi:10.3969/j.issn.1006-1959.2022.12.018]
[3]张旭坤,王胜利,葛站勇.前外侧入路下不同髋关节置换方式治疗老年股骨颈骨折的疗效比较[J].医学信息,2020,33(22):120.[doi:10.3969/j.issn.1006-1959.2020.22.034]
　ZHANG Xu-kun,WANG Sheng-li,GE Zhan-yong.Comparison of Curative Effect Different Hip Replacement Methods in the Treatment of Femoral Neck Fracture in the Elderly Through Anterolateral Approach[J].Medical Information,2020,33(14):120.[doi:10.3969/j.issn.1006-1959.2020.22.034]
[4]黄 辉,李元海,周 磊,等.吗啡复合布比卡因用于收肌管阻滞在全膝关节置换术后镇痛的效果[J].医学信息,2021,34(16):172.[doi:10.3969/j.issn.1006-1959.2021.16.049]
　HUANG Hui,LI Yuan-hai,ZHOU Lei,et al.Effect of Morphine Combined with Bupivacaine for Analgesia of Adductor Tube Block After Total Knee Arthroplasty[J].Medical Information,2021,34(14):172.[doi:10.3969/j.issn.1006-1959.2021.16.049]
[5]孟 涛,韩金昌,李付元,等.基于GRADE评级对活血利水类中药复方治疗全膝关节置换术后膝关节肿痛的Meta分析[J].医学信息,2023,36(09):109.[doi:10.3969/j.issn.1006-1959.2023.09.022]
　MENG Tao,HAN Jin-chang,LI Fu-yuan,et al.Meta-analysis of Traditional Chinese Medicine Compound for Huoxue Lishui Chinese Herbal Compound in the Treatment of Knee Joint Swelling and Pain After Total Knee Arthroplasty Based on GRADE Rating[J].Medical Information,2023,36(14):109.[doi:10.3969/j.issn.1006-1959.2023.09.022]

更新日期/Last Update: 1900-01-01