4h</sup> 后再開放），各50例。記錄兩組術(shù)中出血量、手術(shù)時(shí)間、術(shù)后引流量和總失血量。記錄兩組關(guān)節(jié)腫脹、斑等并發(fā)癥發(fā)生情況，髖關(guān)節(jié)活動(dòng)度及Harris評(píng)分。結(jié)果：兩組患者手術(shù)時(shí)間、術(shù)中出血量差異無統(tǒng)計(jì)學(xué)意義（ P>0.05 )。常規(guī)組和觀察組的總失血量分別為（ 213.95±11.51 ）mL和（ 188.60±11.69 ）mL,觀察組總失血量相較常規(guī)組少（ P<0.05 )。常規(guī)組和觀察組的術(shù)后引流量分別為（ 111.50±8.32 ）mL和0 90.43±8.66)mL ，觀察組術(shù)后引流量較常規(guī)組顯著少（ P<0.05 )。術(shù)后 48h ，與常規(guī)組相比，觀察組屈曲活動(dòng)度顯著大（ P<0.05 )。常規(guī)組和觀察組并發(fā)癥發(fā)生率差異無統(tǒng)計(jì)學(xué)意義（ P>0.05 ）。結(jié)論：THA后早期夾閉負(fù)壓引流管可減少總失血量，且對(duì)預(yù)后無不良影響。-龍?jiān)雌诳W(wǎng)" />

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股骨頸骨折全髖關(guān)節(jié)置換術(shù)后早期夾閉負(fù)壓引流管對(duì)患者預(yù)后的影響

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Effect of Early Clamping Negative Pressure Drainage Tube after Total Hip Arthroplasty for Femoral Neck Fracture on Prognosis of Patients/WU Xiaoyang，HUANG Xiaowei.//Medical Innovation of China， 2025，22（20）：120-123

[Abstract] Objective： To evaluate the eect of early clamping negative pressure drainage tube on the  prognosis of patientsafter total hiparthroplasty （THA）.Method： In this study，1OO patients with THA admitted to Department of Orthopedics，theFirst Afiliated Hospitalof Soochow University from Julyto December 2O23 were retrospectively analyzed，and were divided into the routine group （negative pressure drainage tube was opened immediately after surgery）and observation group（negative pressure drainage tube was clamped for 4 hours after surgery and then opened） according to the clamping conditions of the negative pressure drainage tube after surgery， with 50 cases in each group.The intraoperative blood lossoperation time，postoperative drainage volume and total blood loss of the two groups were record.The occurrence ofcomplications such as joint swelling and ecchymosis，hip jointrangeof motionand Harris score in the two groups were record.Result：There were no statisticallysignificant differences in theoperation time and intraoperative blood loss between the two groups （P>O.O5）.The total blood loss of routine group and observation group was （213.95±11.51 ）mL and （188.60±11.69） mL，respectively，the total blood loss of the observation group was less than that in the routine group（ P <0.05）. The postoperative drainage volume of routine group and observation group was （111.50±8.32 ） mL and （90.43±8.66 ）mL，respectively，the postoperative drainage volume of the observation group was less than that in the routine group （ P <0.05）. 48 hours after the surgery，compared with the routine group，the range offlexion in the observation group was significantly greater （ P <0.05）.There was no statistically significant diffrence in the incidence of complications between the routine group and the observation group （P>0.05） . Conclusion： Early clamping negative pressure drainage tube after THA can reduce total blood loss and has no adverse effect on prognosis.

[Keywords] Total hip arthroplastyNegative pressure drainage tubeBleeding Prognosis

First-author'saddress：Departmentof Orthopedics，theFirst Affiliated Hospital of Soochow iversity，Suzhou，China

doi：10.3969/j.issn.1674-4985.2025.20.028

股骨頸骨折是最常見的髖部骨折類型，占髖部骨折的 48%～54% ，約 90% 的股骨頸骨折患者的年齡在 50歲以上，且發(fā)病率呈逐年上升趨勢(shì)[1-2]。（剩余4200字）

目錄
monitor