Effect of diabetes on perioperative blood loss and postoperative pain after knee replacement
Objective To investigate the effect of diabetes mellitus(DM)on perioperative blood loss and postoperative pain in patients with osteoarthritis undergoing total knee arthroplasty(TKA).Methods Retrospective Collected and analyzed the clinical data of 92 patients who underwent unilateral total knee arthroplasty.According to whether they had DM,they were divided into DM group(48 cases)and non-DM group(44 cases).Detected and recorded the changes in perioperative hemoglobin(Hb)and hematocrit(Hct)in the two groups,as well as perioperative blood loss,length of stay,visual analogue scale(VAS),etc.Recorded perioperative deep Venous Thrombosis(DVT)and pulmonary embolism happened.Results The preoperative Body Mass Index(BMI)of patients with DM was greater than that of patients with non-DM(P＜0.05);the Hb and Het of the diabetic group on the third day after surgery were signifi-cantly lower than those of the non-diabetic group(P＜0.05);the hidden blood loss and total blood loss of the diabetes group were more than those of the non-diabetic group,postoperative DVT incidence and blood transfusion rate are higher than non-diabetic group,and the total length of hospital stay was longer than that of the non-diabetic group.There were differences statistically significant(P＜0.05);on the 3rd day after surgery,the VAS score of the diabetic group was greater than that of the non-diabetic group,and the differ-ence was statistically significant(P＜0.05);there was no incision infection,pulmonary embolism and other complications in the two groups.Conclusion The patients with DM could increase the amount of bleeding during the perioperative period of TKA and aggravate the postoperative pain of the patient.
Knee osteoarthritisTotal knee arthroplastyDiabetesPerioperative blood loss
万方数据
维普
