论文部分内容阅读
目的:探讨采用加味当归补血汤治疗对全膝关节置换术(TKA)术后隐性失血及功能恢复的影响。方法:将我院2013年6月至2015年10月我院行TKA的患者92例随机分为对照组(46例)和试验组(46例),两组术后均给予常规吸氧、抗感染、抗凝等治疗,对照组单独采用硫酸亚铁片治疗,试验组采用硫酸亚铁片联合加味当归补血汤治疗,观察对比两组失血量、膝关节功能评分、视觉模拟疼痛评分(VAS)情况及血红蛋白(Hb)、红细胞压积(Hct)水平。结果:试验组显性失血量、隐性失血量明显低于对照组;两组术前膝关节功能评分、VAS评分比较无显著差异,两组术后上述评分较术前明显改善,且试验组改善程度明显优于对照组;两组术前Hb、Hct水平比较无显著差异,试验组术后上述指标与术前比较无显著差异,对照组与术前比较有显著差异,且试验组水平显著高于对照组。结论:对行TKA的患者采用加味当归补血汤治疗效果显著,对降低隐形失血量、改善功能恢复意义重大。
Objective: To investigate the effect of Jiawei Dangguibuxuetang on implicit blood loss and functional recovery after total knee arthroplasty (TKA). Methods: Ninety-two patients with TKA in our hospital from June 2013 to October 2015 were randomly divided into control group (n = 46) and experimental group (n = 46). Both groups were given conventional oxygenation Infection and anticoagulation. The control group was treated with ferrous sulphate alone. The experimental group was treated with ferrous sulphate tablets combined with Modified Danggui Buxue Decoction. The blood loss, knee function score, visual analogue pain score (VAS) And hemoglobin (Hb), hematocrit (Hct) levels. Results: The mean blood loss and latent blood loss of the experimental group were significantly lower than those of the control group. There was no significant difference between the two groups in preoperative knee function score and VAS score. The postoperative scores of the two groups were significantly improved, The level of improvement was significantly better than the control group; Hb, Hct levels were no significant difference between the two groups, the experimental group postoperatively compared with the preoperative indicators was no significant difference in the control group compared with the preoperative significantly, and the experimental group was significantly Higher than the control group. Conclusion: The effect of Modified Dangguibuxuetang on patients with TKA is significant, which is significant for reducing the amount of invisible blood loss and improving functional recovery.