Chinese Journal of Tissue Engineering Research ›› 2017, Vol. 21 ›› Issue (35): 5609-5615.doi: 10.3969/j.issn.2095-4344.2017.35.006
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Yan Jian-feng, Li Qiang, Yang Zong-hua
Online:
2017-12-18
Published:
2018-01-02
About author:
Yan Jian-feng, Associate chief physician, Department of Orthopedics, Changshu No. 2 People’s Hospital (the Affiliated Hospital of Yangzhou University Medical College), Changshu 215500, Jiangsu Province, China
CLC Number:
Yan Jian-feng, Li Qiang, Yang Zong-hua. Correlation of body mass index and serum lipid levels in blood management of arthroplasty in elderly patients [J]. Chinese Journal of Tissue Engineering Research, 2017, 21(35): 5609-5615.
全髋关节置换患者中正常组、超重组和肥胖组预估失血量差异有显著性意义(P=0.001)。全膝关节置换患者中正常组、超重组和肥胖组预估失血量经卡方分析,各组间差异差异有显著性意义(P=0.001)。经趋势卡方检验,全膝关节置换和全髋关节置换患者其不同组别预估总失血量与体质量指数上升趋势相关性有统计学意义(P=0.001,0.001),提示随着体质量指数上升总失血量提高,见表2。 研究对象体质量指数越高,其失血百分比(失血量占总血容量百分比)越低,经趋势卡方检验,上述指标相关性有统计学意义(P=0.001,0.001),见表3。全髋关节置换和全膝关节置换患者中未输血组与输血组失血百分比对比见表4。"
2.3 不同体质量指数组别术后并发症发生情况 全髋关节置换正常组、超重组和肥胖组的深静脉血栓发生率经卡方分析,各组间差异无显著性意义(P=0.587);全膝关节置换正常组、超重组和肥胖组经卡方分析,各组间差异无显著性意义(P=0.229)。全髋关节置换3组心肌梗死发生率经卡方分析,各组间差异无显著性意义(P=0.768);全膝关节置换3组心肌梗死发生率经卡方分析,各组间差异无显著性意义(P=0.534)。全髋关节置换3组手术部位深部感染发生率经卡方分析,各组间差异无显著性意义(P=0.108);全膝关节置换3组手术部位深部感染发生率经卡方分析,各组间差异无显著性意义(P=0.311)。趋势卡方检验分析提示,除手术部位深部感染发生率组别变化趋势与体质量指数增长具有相关性(P=0.043),其他并发症发生率组别变化趋势与体质量指数增长无关,见表5。 另外,根据基线资料和手术资料分析结果,体质量指数与住院时长、30 d再入院率、术前血红蛋白水平无显著相关性,体质量指数与年龄呈负相关,与血红蛋白1A水平、手术时长呈正相关。"
2.4 血脂水平相关指标与输血率、失血量及术后并发症发生率相关性 根据实验室检查结果,利用Spearman相关分析血脂水平与输血率、失血量及术后并发症发生率相关性。其中全髋关节置换组别中研究对象总胆固醇水平与输血率、失血百分比具有相关性,相关系数r分别为-0.278 (P=0.021)及-0.329(P=0.034)。三酰甘油水平与输血率具有相关性,相关系数r为-0.449(P=0.014)。其余指标与输血率、失血量及术后并发症发生率均无相关性。全膝关节置换组别中研究对象总胆固醇水平与输血率、失血百分比具有相关性,相关系数r分别为-0.341(P=0.006)及-0.489(P=0.017)。其余指标与输血率、失血量及术后并发症发生率均无相关性,详见表6。"
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