Effects of different drainage tube clamping time after total knee arthroplasty on blood loss and compliations
10.3760/cma.j.issn.1674-2907.2018.24.002
- VernacularTitle:全膝关节置换术后不同切口引流管夹闭时间对失血及并发症的影响
- Author:
Jia LIU
1
;
Bingdu TONG
;
Haiying CAO
;
Yufen MA
;
Zhinan REN
;
Yu HE
;
Na GAO
Author Information
1. 100730,中国医学科学院 北京协和医院骨科
- Keywords:
Arthroplasty,replacement,knee;
Drainage clamping time;
Nursing management
- From:
Chinese Journal of Modern Nursing
2018;24(24):2860-2865
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of intra-articular injection of tranexamic acid with different drainage tube clamping time on blood loss and complications after total knee arthroplasty. Methods A total of 93 patients undergoing total knee arthroplasty from Octorber 2016 to February 2017 in a Class 3 Grade A hospital in Beijing were selected by continuous sampling method. All the research subjects were divided according to the drainage tube clamping time into three groups: clamping 2 h group (n=33), 4 h group (n=29) and 6 h group (n=31). The 24 h postoperative wound drainage, hemoglobin decrease, knee girth, VAS and temperature postoperatively were observed. Results There were significant differences in the wound drainage among the three groups (P＜0.05). The knee girth and VAS of the 6 h group were higher than those of the 2 h and 4 h group, and the differences were statistically significant (P＜0.05). There were no significant differences among the three groups in hemoglobin decrease and temperature (P＞0.05). Conclusions Clamping drainage tube for 4 h after total knee arthroplasty can effectively reduce wound drainage, and will not increase the knee hematoma, pain and postoperative fever.
