常压转负压引流对全膝关节置换术患者的影响

doi:10.16260/j.cnki.1009-2188.2017.01.010

Chinese Journal of Modern Operative Surgery

2017, Vol. 21

Issue (1): 40-43 DOI: 10.16260/j.cnki.1009-2188.2017.01.010

Clinical Research

The Clinical Effect of Negative Pressure Drainage Followed Atmospheric Pressure Drainage in Total Knee Replacement Patients

LI Ronghua, DU Xiangyang, XIANG Yongsheng

Department of Orthopedics, the Second Hospital of Chaoyang, Chaoyang122000, Liaoning, China

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Abstract ObjectiveTo explore the clinical effect of negative pressure drainage followed atmospheric pressure drainage in total knee replacement patients.MethodsThere were 90 cases with TKA were randomly divided into the experiment group and the control group, with 45 cases for each. The experiment group was treated by negative pressure drainage followed atmospheric pressure, and the control group was treated by negative pressure drainage 4 hours after operation. The drainage volume, clinical effect, and prognosis of the patients were compared.ResultsThe drainage volume of 0~6h, 6~12h and the total one of the experiment group was less than the control group(P＜0.05). The transfusion volume and 1day postoperative blood loss of the experiment group were less than the control group(P＜0.05). There was no significant difference on the body temperature before and after operation for the two groups(P＞0.05). The 2day postoperative active flexion angle of the experiment group was less than the control group(P＜0.05), and it became larger than the control group 5 days after operation (P＜0.05). There was no significant difference on the rate of phlebothrombosis (P＞0.05).ConclusionIt can reduce the drainage volume and the blood loss for the patients with total knee replacement by negative pressure drainage followed atmospheric pressure drainage. It has high value of clinical application with the improvement of the range of motion.

Key words： drainage total knee replacement

Published: 25 May 2018

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	李荣华，杜向阳，项永胜

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李荣华，杜向阳，项永胜. The Clinical Effect of Negative Pressure Drainage Followed Atmospheric Pressure Drainage in Total Knee Replacement Patients[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(1): 40-43.

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http://www.surgerychina.com/EN/10.16260/j.cnki.1009-2188.2017.01.010 OR http://www.surgerychina.com/EN/Y2017/V21/I1/40

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