论文部分内容阅读
目的:评价口服八珍汤加减对单侧首次全膝关节术后血红蛋白降低的影响。方法:根据随机对照原则,选择2014年1月至2015年5月本科室行首次单侧人工全膝关节置换患者80例,随机分为A和B两组,两组患者均在全身麻醉下应用止血带的条件下进行手术。A组(试验组)患者术后6h给予中药方剂八珍汤颗粒配方1剂,溶于200mL清水中口服,术后每日1剂,分早晚2次服用,服用14d,B组(对照组)患者术后6h给予200mL清水口服。记录术后引流量,术前、术后第1,7,14天血红蛋白数值,比较两组血红蛋白减少量。结果:两组患者术前血红蛋白及术后引流量无明显差异,术后血红蛋白均有不同程度的下降,A组较B组在术后第1天血红蛋白降低无明显差异(P>0.05),第7,14天血红蛋白减少量显著降低,差异有统计学意义(P<0.05)。结论:口服八珍汤加减能有效缓解首次单侧全膝关节置换术后血红蛋白降低。
Objective: To evaluate the effect of oral Bazhen decoction on hemoglobin after unilateral total knee surgery. Methods: According to the randomized control principle, 80 patients with the first unilateral total knee replacement in the department from January 2014 to May 2015 were selected and randomly divided into A and B groups. Both groups were under general anesthesia Tourniquet conditions under the operation. The patients in group A (experimental group) were given Bazhen decoction 1 hour after operation at 6h after operation, dissolved in 200mL of water, once daily after operation, twice daily in morning and evening, and 14 days in group B (control group) Patients were given 200mL water 6h after oral administration. The amount of postoperative drainage, hemoglobin values at the first, the seventh and the 14th postoperative days were recorded, and the reduction of hemoglobin was compared between the two groups. Results: There was no significant difference between the two groups in preoperative hemoglobin and postoperative drainage, and the postoperative hemoglobin decreased to some extent. There was no significant difference in hemoglobin between the two groups (P> 0.05) The reduction of hemoglobin at 7 and 14 days was significantly lower (P <0.05). Conclusion: Oral Bazhen decoction can effectively reduce the hemoglobin after the first unilateral total knee replacement.