[1]贾科锋.不同时机拆除弹力绷带对全膝关节置换术后患者的影响[J].医学信息,2022,35(22):118-120.[doi:10.3969/j.issn.1006-1959.2022.22.026]
　JIA Ke-feng.Effect of Removing Elastic Bandages at Different Times on Patients After Total Knee Arthroplasty[J].Journal of Medical Information,2022,35(22):118-120.[doi:10.3969/j.issn.1006-1959.2022.22.026]
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不同时机拆除弹力绷带对全膝关节置换术后患者的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年22期
页码:
118-120
栏目:
临床研究
出版日期:
2022-11-15

文章信息/Info

Title:
Effect of Removing Elastic Bandages at Different Times on Patients After Total Knee Arthroplasty
文章编号:
1006-1959（2022）22-0118-03
作者:
贾科锋
（华北医疗健康集团邢台总医院关节外科，河北 邢台 054000）
Author(s):
JIA Ke-feng
(Department of Joint Surgery,North China Medical Heath Group Xingtai General Hospital,Xingtai 054000 Hebei,China)
关键词:
全膝关节置换术; 弹力绷带; 失血量; 膝关节功能
Keywords:
Total knee arthroplasty; Elastic bandage; Blood loss; Knee joint function
分类号:
R687.4
DOI:
10.3969/j.issn.1006-1959.2022.22.026
文献标志码:
A
摘要:
目的 探讨不同时机拆除弹力绷带对全膝关节置换术后患者的影响。方法 选取 2019年1月-12月华北医疗健康集团邢台总医院收治的160例全膝关节置换术患者为研究对象，采用随机数字表法分为A组与B组，各80例。A组于术后24 h拆除弹力绷带，B组于术后48 h拆除弹力绷带。比较两组术后3、5、7 d膝关节周径，术后3、7 d血红蛋白下降量，术前及术后7 d膝关节满意度评分。结果 A组膝关节周径术后3、5、7 d均低于B组，差异有统计学意义（P＜0.05）；两组术后3、7 d血红蛋白下降量比较，差异无统计学意义（P＞0.05）；A组术后7 d KSS满意度评分高于B组，差异有统计学意义（P＜0.05）。结论 术后24 h拆除弹力绷带有利于减轻全膝关节置换术患者患肢肿胀，患者膝关节满意度评分高，且不增加术后失血量，值得临床应用。
Abstract:
Objective To investigate the effect of removing elastic bandages at different times on patients after total knee arthroplasty.Methods A total of 160 patients with total knee arthroplasty admitted to North China Medical Heath Group Xingtai General Hospital from January to December 2019 were selected as the research objects. They were divided into group A and group B by digital random table method, with 80 cases in each group. In group A, elastic bandages were removed at 24 h after operation, and in group B, elastic bandages were removed at 48 h after operation. The knee circumference at 3, 5 and 7 days after operation, the decrease of hemoglobin at 3 and 7 days after operation, and the knee satisfaction score before operation and 7 days after operation were compared between the two groups.Results The knee circumference of group A was lower than that of group B at 3, 5 and 7 days after operation, and the difference was statistically significant (P<0.05). There was no significant difference in hemoglobin decrease between the two groups at 3 and 7 days after operation (P>0.05). The KSS satisfaction score of group A was higher than that of group B at 7 days after operation, and the difference was statistically significant (P<0.05).Conclusion Demolition of elastic bandages at 24 hours after surgery is beneficial to reduce limb swelling in patients undergoing total knee arthroplasty. Patients have a high knee satisfaction score and do not increase postoperative blood loss. It is worthy of clinical application.

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更新日期/Last Update: 1900-01-01