本文關(guān)鍵詞： 股骨頸骨折 關(guān)節(jié)成形術(shù) 置換 髖 傷口愈合 骨科植入物 人工假體 人工股骨頭置換 傷口滲出 傷口延遲愈合　出處：《中國組織工程研究》2017年15期 　論文類型：期刊論文

【摘要】：背景:目前關(guān)于關(guān)節(jié)置換的文獻報道目前大多側(cè)重于其遠期并發(fā)癥的原因與對策,而對術(shù)后近期并發(fā)癥如傷口持續(xù)滲出和延遲愈合的原因關(guān)注甚少。有高血壓病的患者行髖關(guān)節(jié)置換后傷口持續(xù)滲出和延遲愈合的發(fā)生率是否高于血壓正常患者國內(nèi)外尚無相關(guān)報道。目的:明確人工股骨頭置換后傷口持續(xù)滲出和延遲愈合與高血壓之間的關(guān)系。方法:回顧性分析205例老年股骨頸骨折患者資料,所有患者均接受人工股骨頭置換術(shù)治療;根據(jù)《中國高血壓防治指南2010》中的高血壓診斷標準分為高血壓組和對照組,主要比較兩組患者關(guān)節(jié)置換中失血量、置換后失血量、傷口持續(xù)滲出時間、傷口裂開和傷口延遲愈合發(fā)生率是否有差異,分析高血壓與傷口滲出和延遲愈合的關(guān)系。結(jié)果與結(jié)論:(1)高血壓組平均收縮壓為153.55 mm Hg,對照組為128.82 mm Hg,差異有顯著性意義(P0.05);(2)兩組患者年齡、性別、關(guān)節(jié)置換前MNA-SF營養(yǎng)風險評分、合并糖尿病例數(shù)、體質(zhì)量指數(shù),以及關(guān)節(jié)置換中和置換后失血量差異均無顯著性意義(P0.05);(3)高血壓組患者傷口持續(xù)滲出時間為4.03 d,對照組為2.08 d,差異有顯著性意義(P0.05);(4)高血壓組患者的傷口延遲愈合發(fā)生率明顯高于對照組(P0.05);(5)結(jié)果說明,高血壓能夠增加關(guān)節(jié)置換術(shù)后傷口持續(xù)滲出和延遲愈合發(fā)生率的風險,是傷口延遲愈合的重要影響因素之一。
[Abstract]:Background: at present, most of the literatures about joint replacement focus on the causes and countermeasures of its long-term complications. However, little attention has been paid to the causes of postoperative complications such as continuous exudation and delayed healing of wounds. Whether the incidence of continuous exudation and delayed healing in patients with hypertension after hip replacement is higher than that in patients with normal blood pressure. Objective: to determine the relationship between sustained wound exudation, delayed healing and hypertension after artificial femoral head replacement. Methods: 205 elderly patients with femoral neck fracture were retrospectively analyzed. All the patients were treated with artificial femoral head replacement, according to the diagnostic criteria of hypertension in the Chinese guidelines for the Prevention and treatment of Hypertension 2010, the patients were divided into two groups: hypertension group and control group. Whether there is a difference in the duration of continuous exudation of the wound, whether there is a difference between the rate of wound rupture and the rate of delayed wound healing, Results and conclusion the mean systolic blood pressure (SBP) of hypertension group was 153.55 mm / g, while that of control group was 128.82 mm / g. There was significant difference in age, sex and MNA-SF nutritional risk score before arthroplasty between the two groups. Number of diabetes patients, body mass index, There was no significant difference in the amount of blood loss after joint replacement and replacement. There was no significant difference in blood loss (P 0.05). The duration of wound exudation was 4.03 days in the hypertension group and 2.08 d in the control group. The difference was significant (P 0.05)) the delayed healing of the wound in the hypertension group was significantly higher than that in the control group (P < 0.05). The rate of birth was significantly higher than that of the control group (P 0.05). Hypertension can increase the risk of continuous exudation and delayed healing after arthroplasty, which is one of the important influencing factors of delayed wound healing.
【作者單位】： 南京中醫(yī)藥大學附屬八一醫(yī)院骨科;
【基金】：南京市科技計劃項目(201503007) 南京軍區(qū)科技創(chuàng)新項目(15ZD020)~~
【分類號】：R544.1;R687.3
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本文編號：1523610