灌注含肾上腺素生理盐水减少全膝关节置换术后出血

Infusion of adrenaline-containing solution reduces bleeding in knee joint after total replacement operation

  • 摘要: 目的 评价人工全膝关节置换术后关节腔内注入含肾上腺素生理盐水减少出血的疗效。方法 全膝关节置换39例,随机分为两组,实验组假体安装完毕、闭合皮下组织并固定引流管之后,向关节腔内注入含0.5%肾上腺素的生理盐水50mL;对照组常规处理,缝合伤口后不给予特殊处理,观察引流量。结果 实验组术后12h平均引流量(148.9±90.42)mL,对照组(260±146.13)mL,两组有统计学意义(P<0.05);实验组术后总引流量平均(271±174.05)mL,对照组平均(530±227.68)mL,两组有极显著差异(P<0.01)。结论 TKA术后,注射含肾上腺素生理盐水能有效减少伤口渗出量。

     

    Abstract: Objective To evaluate the effect of adrenaline-containing solution on reducing bleeding in knee joint after total replacement operation. Methods Thirty-nine patients were randomly divided into experimental group and control group.Total replacement of knee joint was performed in patients of experimental group,subcutaneous tissue was sutured and a drainage tube was placed,and 50mL of 0.5%adrenaline solution was injected into the knee joint cavity by the end of operation.Patients in control group were routinely treated with no injection of adrenaline solution.The drainage volume was recorded after the wound was closed. Results The mean drainage volume was 148.9mL and 260mL,respectively,in experimental and control groups 12h after operation(P<0.05).The mean total drainage volume was 271mL and 530mL,respectively,in experimental and control groups(P<0.01). Conclusion Adrenaline solution can effectively reduce the drainage volume after total replacement of knee joint.

     

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