全髋关节及全膝关节置换术后隐性失血的临床影响

Clinical Effect of Recessive Blood Loss After Total Hip and Total Knee Arthroplasty

目的:主要对全髋关节及全膝关节置换术后隐形失血临床影响进行探讨。方法:将我院80例进行全髋关节置换术患者作为实验组,80例进行全膝关节置换术患者作为对照组,将两组患者进行血液回输和未进行血液回输的显性失血量与隐性失血量以及实际失血总量进行比较。结果:实验组患者显性失血量与隐性失血量显然要比对照组高,并且进行血液回输患者显性失血量与实际失血总量要低于未行血液回输患者,均P<0.05,具有统计学意义。实验组血红蛋白丢失与实际失血总量和对照组对比后P>0.05,无统计学意义。结论:全膝关节置换术隐形失血量要比全髋关节置换术高,治疗时实施引流血回输也难以满足机体正常循环需求,需及时有效补充血容量,并采取合理措施帮助患者安全度过围术期。

Objective: The clinical effects of invisible blood loss after total hip arthroplasty and total knee arthroplasty were investigated. Methods: 80 patients with total hip arthroplasty in our hospital were taken as experimental group and 80 patients with total knee arthroplasty as control group. Results: The dominant blood loss and recessive blood loss in the experimental group were obviously higher than those in the control group, and the dominant blood loss and the actual total blood loss in the patients with blood transfusion were lower than those without blood transfusion, all P<0.05, which was statistically significant. hemoglobin loss in the experimental group was not statistically significant compared with the actual total blood loss and the control group after P>0.05. Conclusion: The invisible blood loss of total knee arthroplasty is higher than that of total hip arthroplasty, and it is difficult to meet the normal circulation requirement of blood drainage during treatment.