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静脉滴注联合关节内灌注氨甲环酸对膝关节置换患者失血的护理影响 被引量：5

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摘要 目的:探讨静脉滴注联合关节内灌注氨甲环酸减少全膝关节置换术后出血的护理方法。方法:选取符合纳入标准的患者146例,随机平均分为两组。实验组于止血带充气前10min静脉滴注溶有2.0g氨甲环酸溶液100ml,术后松止血带前2min关节腔内注射100ml溶有2.0g氨甲环酸的生理盐水,夹闭引流管1h后开放引流;对照组止血带充气前10min静脉滴注100ml生理盐水,术后通过引流管直接向关节腔注入生理盐水100ml,夹闭引流管1h后负压吸引。术后第1、3d复查患者血常规,并记录每日引流量,评价术后输血比例及术后血栓发生率。结果:实验组术后总的引流量以及总失血量明显少于对照组,输血率明显低于对照组;两组患者在术后凝血功能血栓发生率及术后不良反应方面差异无统计学意义。结论:全膝关节术后静脉滴注联合关节内灌注氨甲环酸可有效减少出血量,且不增加血栓发生的概率。
作者 崔晓红 巫洪波
机构地区 广东省惠州市惠东县多祝镇卫生院 广东省惠州市中心人民医院骨关节科
出处 《北方药学》 2015年第1期195-196,共2页 Journal of North Pharmacy
关键词 膝关节置换 氨甲环酸 关节内灌注 失血 护理
分类号 R687.4 [医药卫生—骨科学]
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参考文献7

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同被引文献74

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引证文献5

二级引证文献36

北方药学
2015年 第1期

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