[1]邱庆虎 马松涛 李印鹏 孙志强 王科 柏冰.八珍汤对老年全髋关节置换术后隐性失血的影响[J].中国中医骨伤科杂志,2019,27(01):27-30.
　QIU Qinghu MA Songtao LI Yinpeng SUN Zhiqiang WANG Ke BAI Bing.Effect of Hidden Hemorrhage in Elderly Patient after Hip Replacement Treated with Bazhen Decoction[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(01):27-30.
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八珍汤对老年全髋关节置换术后隐性失血的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年01期
页码:
27-30
栏目:
临床研究
出版日期:
2019-01-15

文章信息/Info

Title:
Effect of Hidden Hemorrhage in Elderly Patient after Hip Replacement Treated with Bazhen Decoction
文章编号:
1005-0205(2019)01-0027-04
作者:
邱庆虎1 马松涛2 李印鹏1 孙志强1 王科2 柏冰2
河北清河县人民医院骨科(河北 清河,054800)
Author(s):
QIU Qinghu1 MA Songtao2 LI Yinpeng1 SUN Zhiqiang1 WANG Ke2 BAI Bing2
1Department of Orthopaedic Surgery,Qinghe People's Hospital,Qinghe 054800,Hebei China; 2Department of Orthopaedic Surgery, Linxi People's Hospital, Linxi 054900,Hebei China.
关键词:
全髋关节置换;  八珍汤;  隐性失血
Keywords:
hip replacement;  Bazhen decoction;  hidden hemorrhage
分类号:
R687.4
文献标志码:
A
摘要:
观察围手术期口服八珍汤对老年全髋关节置换术后隐性失血的影响。方法:选取本院骨科2015年2月至2017年6月拟行全髋关节置换术老年患者70例随机分为治疗组和对照组各35例,两组患者均给予围手术期血液管理,治疗组于术前3 d开始加用八珍汤口服治疗至术后14 d,观察两组患者失血量、血红蛋白和红细胞比容水平的变化情况。结果:术后3 d时,治疗组隐性失血量和总失血量均低于对照组,差异有统计学意义(P<0.01); 两组患者显性失血量差异无统计学意义(P>0.05); 两组患者血红蛋白和红细胞比容均较手术前3 d明显下降,差异有统计学意义(P<0.01),对照组下降多于治疗组,差异有统计学意义(P<0.01)。术后14 d时,两组患者血红蛋白和红细胞比容均较术后3 d时明显上升,治疗组上升多于对照组,差异有统计学意义(P<0.01)。结论:围手术期口服八珍汤可减少老年全髋关节置换术隐性失血量,提高骨髓造血能力。
Abstract:
To study the effect of hidden hemorrhage in elderly patients after hip replacement treated with Bazhen decoction. Methods:From February 2015 to June 2017, seventy elderly patients in preparation for hip replacement were divided into treatment group and control group(n=35 case). Blood management was given to both groups during perioperative period, Bazhen decoction was added to treatment group from 3 d before the operation to 14 d after the operation.Quantity of hemorrhage,hemoglobin and hematocrit level were observed. Results:3 d after the operation,quantity of hidden hemorrhage and total hemorrhage in treatment group were lower than control group(P<0.01),there was no significant difference between two groups in quantity of visible hemorrhage(P>0.05),hemoglobin and hematocrit level were both lower than preoperation, control group was more than treatment group(P<0.01).At 14 d after the operation, hemoglobin and hematocrit level were raised than 3 d after the operation,control group was lower than treatment group(P<0.01). Conclusion: Treated with Bazhen decoction in elderly patient after hip replacement can reduce the quantity of hidden hemorrhage, promote the blood generation ability of the marrow.

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备注/Memo

备注/Memo:
1河北清河县人民医院骨科(河北 清河,054800) 2河北临西县人民医院骨科
更新日期/Last Update: 2019-01-15