中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (26): 4792-4795.doi: 10.3969/j.issn.1673-8225.2012.26.009

• 人工假体 artificial prosthesis • 上一篇    下一篇

微孔多聚糖止血球在全髋关节置换中的应用

罗东方，陈跃平，高 辉，陈 亮，李书振   

  1. 广西中医学院附属瑞康医院骨科，广西壮族自治区南宁市 530011
  • 收稿日期:2011-11-18 修回日期:2011-12-01 出版日期:2012-06-24 发布日期:2013-11-02
  • 通讯作者: 陈跃平，在读博士，副主任医师，副教授，硕士生导师，广西中医学院附属瑞康医院骨科，广西壮族自治区南宁市 530011 chenyueping007@126.com
  • 作者简介:罗东方★，男，1980年生，湖北省谷城县人，汉族， 广西中医药大学在读硕士，主治医师，主要从事骨与关节损伤研究。 luodongfang09@163.com

Application of microporous polysaccharide hemospheres in total hip arthroplasty

Luo Dong-fang, Chen Yue-ping, Gao Hui, Chen Liang, Li Shu-zhen   

  1. Department of Orthopedics, Ruikang Hospital of Guangxi Institute of Traditional Chinese Medicine, Nanning 530011, Guangxi Zhuang Autonomous Region, China
  • Received:2011-11-18 Revised:2011-12-01 Online:2012-06-24 Published:2013-11-02
  • Contact: Chen Yue-ping, Studying for doctorate, Associate chief physician, Associate professor, Master’s supervisor, Department of Orthopedics, Ruikang Hospital of Guangxi Institute of Traditional Chinese Medicine, Nanning 530011, Guangxi Zhuang Autonomous Region, China chenyueping007@126.com
  • About author:Luo Dong-fang★, Studying for master’s degree, Attending physician, Department of Orthopedics, Ruikang Hospital of Guangxi Institute of Traditional Chinese Medicine, Nanning 530011, Guangxi Zhuang Autonomous Region, China luodongfang09@163.com

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658

被引次数

3

摘要：

背景：髋关节置换是目前骨科开展的较成熟手术，但暴露大，出血较多，临床需一种理想止血材料及方法来减少患者治疗过程中的出血。
目的：观察微孔多聚糖止血球在全髋关节置换中的止血作用。
方法：53例行全髋关节置换的患者随机分为观察组25例和对照组28例，对照组采用传统局部止血，观察组采用传统局部止血加微孔多聚糖止血球止血。比较两组在置换后引流量、置换后24 h输血量、置换前及置换后第1天复查血红蛋白降低值的区别。
结果与结论：观察组在置换后引流量、置换后24 h输血量、置换前及置换后第1天复查血红蛋白下降量等方面较对照组显著减少(P < 0. 05)。提示微孔多聚糖止血球在全髋关节置换中有较好止血效果。

关键词: 微孔多聚糖止血球, 全髋关节置换, 止血, 血红蛋白, 引流量, 人工关节

Abstract:

BACKGROUND: Hip replacement is a mature orthopedic surgery, but it has disadvantage of large exposure and more bleeding. We need an ideal hematostatic material and method to reduce bleeding during the treatment in patients .
OBJECTIVE: To observe the hemostasis of microporous polysaccharide hemospheres (MPH) in total hip arthroplasty (THA).
METHODS: Totally 53 patients who treated with THA were randomly divided into experimental group (25 cases) and the control group (28 cases). Conventional topical hemostatic was used in the control group. Conventional topical hemostatic and microporous polysaccharide hemispheres were used in the experimental group. Postoperative drainage, postoperative (24 hours) amount of blood transfusion, reduction value of hemoglobin at preoperative and at the first day postoperative were compared between the two groups.
RESULTS AND CONCLUSION: Postoperative drainage, postoperative (24 hours) amount of blood transfusion, reduction value of hemoglobin at preoperative and at the first day postoperative in the experimental group were significantly lower than those in the control group (P < 0. 05). It is indicated that MPH has a better hemostatic effect in THA.

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