前半程与全程使用止血带在膝关节置换术后失血与早期康复的对比前半程与全程使用止血带在膝关节置换术后失血与早期康复的对比.pdf

Asian Case Reports in Surgery 亚洲外科手术病例研究, 2016, 5(2), 10-16 Published Online June 2016 in Hans. /journal/acrs /10.12677/acrs.2016.52003 The First Half and Full Use of a Tourniquet Comparison of Early Rehabilitation and Blood Loss after Knee Replacement Feng Zhou, Changsuo Xia, Yajuan Li, Jianling Han, Cailong Zhang* East Campus of Joint Surgery, The Affiliated Hospital of Qingdao University, Qingdao Shandong th th th Received: Sep. 16 , 2016; accepted: Oct. 9 , 2016; published: Oct. 12 , 2016 Copyright © 2016 by authors and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ Open Access Abstract Research Purpose: To compare the releasing tourniquet after prothesis placement using tourni- quet during the whole-course in the case of hemorrhage resulting from total knee joint replace- ment and early rehabilitation. Method: Adopting prospective randomized controlled method, the research has taken the cases in the Surgical Department of Affiliated Hospital of Qingdao Univer- sity from March 1, 2015 to July 1, 2016 as examples. Patients were diagnosed with left (right) knee osteoarthritis and the first time to receive total knee replacement (TKA). During operation 50 pa- tients were divided into two groups at random: the first half cases used 50 tourniquets (first half group), and patients using tourniquets during the whole course were 50 cases (whole course group). Duration of operation, bleeding volume in surgery, perioperative transfusion volume, deep vein thrombosis of the lower extremity, pulmonary embolism number, perimeter of 10 cm above kn