加压包扎与负压引流预防全髋关节置换术后失血量效果比较.pdfVIP

· 202 · 医药杂志 2010年03月 第27卷 第03期 PracJMed＆Pharm．Vol27—2QJ0．二03—No—．03 加压包扎与负压引流预防全髋关节置换术后失血量效果比较 孙建辉 f摘 要1 目的 比较负压引流和加压包扎对全髋置换术后 出血量和血肿形成状况的影响。方法 采用前瞻 性研究方法 ，选取 105例因骨关节炎进行初次单侧全髋置换术的患者 ，随机分为负压吸引组 (54例)和加压包扎组 (5l例)．负压吸引组采用 Redovac400高真空引流系统，加压包装组则采用 CDS加压包扎系统 。采用血红蛋 白平衡 法计算术后失血量 ，以超声评估术后血肿最大厚度 。结果 两组术前及术后 5d血红蛋 白数值无显著性差别。总失 血量加压包扎组少于负压吸引组 ，术 中出血量两组 间无显著性差异 ，术后失血量加压包扎组少于负压 吸引组 ，术后 输血量加压包扎组少于负压吸引组 ，两组间血肿厚度无显著性差异 。结论 在初次全髋置换术后 ，可以使用加压包 扎来代替传统的负压引流。 关【键词1 失血量 ；血肿 ；全髋置换 ；负压 引流 ；加压包扎 中『图分类号】R687．3 文【献标识码1A Comparison on the irapacts of wound compression dressing and negative drainage on blood loss volumefollowingtotalhiparthroplasty SUN Jina-hui．TheFourthCadreDept．ofGeneralHospitaloftheJinan MititaryRegion，Jinan，Shandong250031，China [Abstract] Objective Tocomparethepostoperativebloodlossvolumeandhematomaofwoundcompression with suction drainage aftertoatlhip arthmplasty．M ethod A randomized，controlled study wascarried out，105 casessubjected tototalhiparthroplastyduetOosteoarthritiswasdividedintotwogroups：woundcompression withoutdrainage(51cases)andwounddrainage(54cases)randomly．Thecasesofwoundcompressiongroupwas treated with Redovac400 wound drainage system．Atthe same time thecasesofdrainage group were rteated wiht CompressionDressingSystem(CDS)．Postoperativebloodlosswasdetectedbyusinghtehemoglobinbalancemethod． The maximum thickness of wound hematoma was assessed by ultrasound scanning．Result Preoperative and intraoperativeHb werenotdifferentbetween boht groups．T0talblood andpostoperative blood losswere lessinhte compression group．Less blood was transfused in hte compression rgoup．The maximum htickness of wound hematomawerenotdifferentbetweenbothgroups．Conclusion Th ewoundcompression dressingisabetterchoice afterfirsttotalhip a