全膝关节置换术后引流管的不同管理方式在膝骨关节炎中的应用效果比较

doi:10.20047/j.issn1673-7210.2023.24.22

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Abstract Objective To investigate the effect of different management methods of drainage tube in knee osteoarthritis (KOA) after total knee arthrplasty (TKA). Methods A total of 96 patients with KOA treated with TKA admitted to the First Affiliated Hospital of Xinxiang Medical University from October 2020 to June 2022 were selected and they were divided into three groups according to random number table method, with 32 cases in each group. No drainage tube was placed during TKA in group A. In group B, the drainage tube was placed during TKA operation, and the drainage was continued after two hours of early clamping. In group C, the drainage tube was placed during the TKA operation, which was clamped intermittently for 110 minutes every two hours and opened for 10 minutes until six hours later. Preoperative and postoperative hemoglobin (Hb), hematopoiesis (HCT), pain visual analogue scale (VAS) score, circumference of affected limb, range of motion (ROM) of knee joint, postoperative drainage volume, total blood loss, and complications were recorded. Results After operation, the Hb and HCT of the three groups were lower than those before operation, and those of group B were lower than group A and group C (P＜0.05). After operation, the VAS scores of the three groups were lower than those before operation, and the circumference of the affected limb in the three groups were longer than those before operation, and the VAS scores of group B and group C were lower than those of group A, and the circumference of the affected limb of group B and group C were shorter than those of group A (P＜0.05). There was no significant difference in total blood loss among the three groups (P＞0.05); the postoperative drainage volume of group C was less than that of group B, with statistically significant (P＜0.05). There were significant differences in ROM time, between groups and interaction among the three groups (P＜0.05). Intra-group comparison: the ROM of the three groups at each time point was compared, (P＜0.05). Comparison between groups: the ROM of group B and group C on the 1st and 3rd day after operation were greater than those of group A, with statistically significant (P＜0.05). The rate of subcutaneous ecchymosis and knee joint swelling in group A were higher than those in group B and C, the differences were statistically significant (P＜0.05). Conclusion Continuous opening of the drainage tube after intermittent clamping for 6 h after TKA can improve early joint motion and reduce drainage flow, pain and complications.

Key words： Total knee arthroplasty Osteoarthritis Drainage tube Blood loss Clipping time

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	FU Dongliang HUANG Yuanxia

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FU Dongliang HUANG Yuanxia. Comparison of the effect of different management methods of drainage tube in knee osteoarthritis after total knee arthroplasty#br#[J]. 中国医药导报, 2023, 20(24): 93-96,100.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.24.22 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I24/93

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