[1]刘亚非,陈百成,孙然,等.糖尿病患者人工全膝关节置换术围手术期处理措施与方法探讨[J].陆军军医大学学报(原第三军医大学学报),2007,29(17):1724-1726.
 LIU Ya-fei,CHEN Bai-cheng,SUN Ran,et al.Perioperative management of total knee arthroplasty in diabetic patients[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(17):1724-1726.
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糖尿病患者人工全膝关节置换术围手术期处理措施与方法探讨(/HTML )
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
29卷
期数:
2007年第17期
页码:
1724-1726
栏目:
论著
出版日期:
2007-09-15

文章信息/Info

Title:
Perioperative management of total knee arthroplasty in diabetic patients
作者:
刘亚非陈百成孙然郑永辰张磊
河北医科大学第三医院关节骨科
Author(s):
LIU Ya-fei CHEN Bai-cheng SUN Ran ZHENG Yong-chen ZHANG Lei
Department of Orthopedics, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
关键词:
人工关节糖尿病
Keywords:
joint prosthesis diabetes mellitus
分类号:
R587.1; R619.9; R687.4
文献标志码:
A
摘要:
目的  探讨糖尿病患者全膝置换术围手术期的处理措施及其并发症的预防。 方法  回顾性分析我科2000-2006年73例接受全膝置换术的糖尿病患者的临床效果。 结果  所有患者在入院时空腹血糖(13.2±1.2)mmol/L,术前空腹血糖控制于(7.0±1.0)mmol/L,术后空腹血糖为(7.4±1.1)mmol/L。所有患者中仅3例(3膝)伤口愈合不良(3.7%),无1例深部感染,有6例(8.2%)术后泌尿系感染;有11膝(13.5%)发生深静脉血栓。平均术前膝关节HSS评分27.6分,术后84.2分。术后随访按照HSS膝关节评分标准优良率达到94.7%。 结论  有效血糖控制是防止术后并发症的关键,在此基础上抗生素及抗生素骨水泥应用及术后防止血栓形成是安全渡过围手术期的重要保证。
Abstract:
Objective    To discuss the measures of perioperative management and the prevention of complication for diabetic patients undergoing total knee arthroplasty.     Methods    The preventive and therapeutic measures during perioperative period and follow-up outcome in 73 patients with diabetes mellitus who had accepted total knee arthroplasty were analysed retrospectively.     Results    The average blood glucose level was (13.2±1.2)mmol/L on admission, and was controlled to (7.0±1.0)mmol/L before operation. The average blood glucose level was (7.4±1.1)mmol/L after operation. Of all patients, only 3 knees (3.7%) developed delayed wound healing. No deep infection occurred. Six patients (8.2%) developed urinary tract infection and 11 (13.5%) developed deep vein thrombosis. The HSS score was improved after operation from average 27.6 points preoperatively to 84.2 points postoperatively. The excellent and good rate was 94.7%.     Conclusion    Effectively controlling blood glucose level is crucial to prevent postoperative complications of total knee arthroplasty. Other measures such as using antibiotics and antibiotic bone cement, preventing thrombosis are also mandatory for diabetic patients to achieve a successful operation and uneventful postoperative recovery.

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更新日期/Last Update: 2008-07-21