探讨同期双侧膝关节置换和单侧膝关节置换的优劣分析

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1、探讨同期双侧膝关节置换和单侧膝关节置换的优劣分析黑龙江省伊春市汤旺河IX职工医院153037摘要：目的探讨并分析同期双侧膝关节置换和单侧膝关节置换的优劣。方法此次研宄的对象是选择行膝关节置换患者94例，将其临床临床资料进行回顾性分析，其中，行单侧膝关节置患者46例为单侧组；行同期双侧膝关节置换患者48例为双侧组。对两组的术后并发症情况、住院时间、住院费用、术后失血量、输血量和膝关节恢复进行比较，进行优劣分析。结果双侧组患者术后失血量、输血量高于单侧组，差异有统计学意义(P<0.05)；双侧组住院

2、时间、住院费用与单侧组比较差异只有统计学意义(P<0.05)；双侧组患者术后并发症的发生率高于单侧组，但差异无统计学意义(P>；0.05)；治疗后，两组患者膝关节功能评分(HSS评分)均较治疗前增高(P<0.05),双侧组患者的HSS评分显著高于单侧组，差异有统计学意义(P<0.05)。结论对于需要膝关节置换患者的治疗，同期双侧膝关节置换和单侧膝关节置换各有优劣，需根据患者情况选择适宜的手术方式予以治疗，相对而言同期双侧膝关节置换经济、高效，但需要更高质量的护理予以配合。关键词：

3、同期双侧膝关节置换：单侧膝关节置换：优劣[Abstract]ObjectiveToinvestigateandanalyzetheadvantagesanddisadvantagesofbilateralkneejointreplacementandunilateralkneereplacementinthesameperiod.Methodthestudyobjectisthechoiceof94casesofpatientswithkneejointreplacementforthewillthe

4、clinicaldatawereretrospectivelyanalyzed.Amongthem,receivedunilateralkneeputtingpatients46casesofunilateralgroup；simultaneousbilateraltotalkneearthroplastypatients48casesofbilateralgroup.Thetwogroupsofpostoperativecomplications，hospitalstay，hospitalcosts

5、,bloodloss,bloodtransfusionandkneerecoverywerecompared,theadvantagesanddisadvantageswereanalyzed.Thebilateralgroupofpatientsafterhemorrhagevolume，bloodtransfusionvolumehigherthanunilateralgroup,thedifferenceisstatisticallysignificant(P<0.05)；bilatera

6、lgroup，thehospitalizationtime,hospitalizationexpensesandunilateralgroupdifferencewasstatisticallysignificant(P<0.05)；bilateralgroupofpatientswithpostoperativecomplicationsoccurrateishigherthanthatofthesinglesidegroup，butthedifferencewasnotstatistical

7、lysignificant(P>0.05)；aftertreatment，twogroupsofpatientswithkneejointfunctionscore(HSS)werecomparedwiththosebeforetreatmentincreased(P<0.05),bilateralgroupofpatientswithHSSscorewassignificantlyhigherthanthatofunilateralgroup，thedifferenceisstatist

8、icallysignificant(P<0.05).Conclusionforthetreatmentofpatientswithkneejointreplacement，simultaneousbilateraltotalkneereplacementandunilateraltotalkneereplacementshavetheirownadvantagesanddisadvantages,accordingtotheconditionofp