Comparison of two blood managements for total hip arthroplasty
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[目的]探讨全髋关节置换术(total hip arthroplasty,THA)围手术期中两种不同血液管理模式的临床疗效.[方法]2022年1月—2023年12月本院收治的100例行全髋关节置换术的患者纳入本研究.根据医患沟通结果,将患者分为多模式组和常规组,每组50例,比较两组患者临床和检验指标.[结果]多模式组术中失血量[(282.0±39.3)ml vs(389.9±46.2)ml,P＜0.001]、术后引流量[(114.5±18.5)ml vs(167.1±13.8)ml,P＜0.001]、输血率[例(％),0vs6(12),P=0.027]、引流时间[(35.5±5.1)h vs(42.2±4.0)h,P＜0.001]及术后住院时间[(6.8±0.9)d vs(7.5±1.2)d,P=0.002]显著优于常规组.检验方面,与术前相比,两组患者术后Hb及Hct均显著降低(P＜0.05).术前两组Hb及Hct的差异均无统计学意义(P＞0.05),术后相应时间点,多模式组Hb及Hct均显著高于常规组(P＜0.05).[结论]多模式血液管理可以有效减少THA围手术期失血量及输血率,缩短术后住院时间,加速患者康复.
[Objective]To compare the clinical consequences of two blood managements during total hip arthroplasty(THA).[Methods]A total of 100 patients who underwent total hip replacement from January 2022 to December 2023 were included in this study.According to the preoperative doctor-patient communication,the patients were divided into multi-mode blood managements group(MMBM)and routine group,with 50 cases in each group.The clinical and laboratory documents of the two groups were compared.[Results]The MMBM group proved significantly superior to the routine group in terms of intraoperative blood loss[(282.0±39.3)ml vs(389.9±46.2)ml,P＜0.001],postop-erative drainage volume[(114.5±18.5)ml vs(167.1±13.8)ml,P＜0.001],blood transfusion rate[case(％),0 vs 6(12),P=0.027],the drainage time[(35.5±5.1)hours vs(42.2±4.0)hours,P＜0.001]and postoperative hospital stay[(6.8±0.9)days vs(7.5±1.2)days,P=0.002].Regarding laboratory test,the Hb and Hct significantly decreased in both groups after surgery compared with those before surgery(P＜0.05).Although there was no significant difference in Hb and Hct between the two groups before surgery(P＞0.05),the MMBM group had significantly higher-Hb and Hct than the routine group at all time points postoperatively(P＜0.05).[Conclusion]Multi-mode blood management does effectively reduce the perioperative blood loss and transfusion rate,shorten the postoperative hospitalization,and accelerate the recovery of patients.
multi-modal blood managementtotal hip arthroplastyperioperative periodblood loss
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