本文關(guān)鍵詞： TKA 隱性失血量 患肢屈曲位 Meta分析 活動(dòng)度　出處：《中國矯形外科雜志》2017年07期 　論文類型：期刊論文

【摘要】：[目的]評(píng)估TKA術(shù)后患肢不同體位對(duì)術(shù)后隱性出血量和活動(dòng)度的影響。[方法]計(jì)算機(jī)檢索Conchrane Library、Pub Med、Embase、OVID、CBM、CNKI、萬方和維普數(shù)據(jù)庫中關(guān)于TKA術(shù)后患肢體位對(duì)術(shù)后隱性出血量影響的隨機(jī)對(duì)照試驗(yàn)(RCT),檢索時(shí)限為建庫至2016年5月,同時(shí)查閱所獲取的參考文獻(xiàn)索引。兩名研究者對(duì)檢索收集到的文獻(xiàn)按照制定的納入排除標(biāo)準(zhǔn)進(jìn)行獨(dú)立篩選。采用隱性出血量、總失血量、輸血率、術(shù)后血紅蛋白水平、術(shù)后活動(dòng)度、發(fā)生深靜脈血栓率作為評(píng)價(jià)指標(biāo)。對(duì)納入文獻(xiàn)進(jìn)行方法學(xué)質(zhì)量評(píng)價(jià),采用Review Manager 5.3軟件進(jìn)行Meta分析。[結(jié)果]最終納入13篇隨機(jī)對(duì)照研究RCT,1 775例患者。Meta分析結(jié)果顯示:兩組患者在隱性出血量、總失血量、輸血率、術(shù)后血紅蛋白水平、關(guān)節(jié)活動(dòng)度差異均有統(tǒng)計(jì)學(xué)意義;深靜脈血栓發(fā)生率差異無統(tǒng)計(jì)學(xué)意義。[結(jié)論]患肢屈曲位作為有效且安全的方法對(duì)TKA術(shù)后減少隱性失血量、總失血量、術(shù)后血紅蛋白降低量、輸血率和增加關(guān)節(jié)活動(dòng)度有顯著幫助。
[Abstract]:[objective] to evaluate the effect of different positions of affected limbs after TKA on the amount and mobility of recessive bleeding after TKA. [methods] to search the Conchrane Library Pub Medbase OVIDC CNKI, Wanfang and Weip databases about the influence of different positions of affected limbs after TKA on the amount of recessive bleeding after TKA. The search time is from the construction of the database to May 2016. At the same time, the index of the obtained reference documents was consulted. The two researchers independently screened the collected documents according to the exclusion criteria formulated. The hidden blood loss, total blood loss, blood transfusion rate, postoperative hemoglobin level were used. The range of postoperative activity and the incidence of deep venous thrombosis were used as evaluation indexes. The methodological quality of the literature was evaluated. Meta analysis was carried out with Review Manager 5.3 software. [results] in 13 randomized controlled studies, 1 775 patients. Meta analysis results showed that the two groups had occult blood loss, total blood loss, blood transfusion rate and postoperative hemoglobin level. There was no significant difference in the incidence of deep venous thrombosis. [conclusion] flexion position of affected limb is an effective and safe method to reduce recessive blood loss, total blood loss and hemoglobin after TKA. Blood transfusion rate and increased joint motion were significantly helpful.
【作者單位】： 廣州中醫(yī)藥大學(xué)第二臨床醫(yī)學(xué)院;廣州中醫(yī)藥大學(xué)附屬佛山市中醫(yī)院;廣東省中醫(yī)院;
【分類號(hào)】：R687.4

【參考文獻(xiàn)】

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本文編號(hào)：1506187