[1]徐凱捷,歐陽桂林.加味八珍湯治療類風濕性關節炎膝關節置換術后貧血的療效[J].醫學信息,2020,(04):165-167.[doi:10.3969/j.issn.1006-1959.2020.04.055]
 XU Kai-jie,OUYANG Gui-lin.Effect of Jiawei Bazhen Decoction on Anemia after Rheumatoid Arthritis Knee Replacement[J].Medical Information,2020,(04):165-167.[doi:10.3969/j.issn.1006-1959.2020.04.055]
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加味八珍湯治療類風濕性關節炎膝關節置換術后貧血的療效()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2020年04期
頁碼:
165-167
欄目:
中醫中藥
出版日期:
2020-02-15

文章信息/Info

Title:
Effect of Jiawei Bazhen Decoction on Anemia after Rheumatoid Arthritis Knee Replacement
文章編號:
1006-1959(2020)04-0165-03
作者:
徐凱捷歐陽桂林
(1.上海中醫藥大學,上海 201203;2.上海中醫藥大學附屬光華醫院,上海 200052)
Author(s):
XU Kai-jieOUYANG Gui-lin
(1.Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;2.Guanghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200052,China)
關鍵詞:
類風濕性關節炎加味八珍湯膝關節置換術貧血
Keywords:
Rheumatoid arthritisJiawei Bazhen DecoctionKnee replacementAnemia
分類號:
R687.4
DOI:
10.3969/j.issn.1006-1959.2020.04.055
文獻標志碼:
A
摘要:
目的 探討加味八珍湯治療類風濕關節炎膝關節置換術后貧血的療效。方法 選取2018年3月~2019年9月我院收治的64例膝關節置換術后貧血的類風濕性關節炎患者作為研究對象,按隨機數字表法分為研究組和對照組,每組32例。兩組均行單側全膝關節置換術,對照組給予琥珀酸亞鐵片治療,研究組在對照組基礎上給予加味八珍湯治療,比較兩組術前、術后第1天、第10天、第6周的血紅蛋白、紅細胞計數水平及髕骨中點下10 cm腫脹程度。結果 兩組術后第1天、術后第6周血紅蛋白、紅細胞計數、髕骨中點下10 cm腫脹程度比較,差異無統計學意義(P>0.05);研究組術后第10天血紅蛋白、紅細胞計數水平及髕骨中點下10 cm腫脹改善程度優于對照組,差異有統計學意義(P<0.05)。結論 加味八珍湯有助于改善類風濕關節炎膝關節置換術后貧血、緩解肢體腫脹,促進患者術后早期康復。
Abstract:
Objective To explore the effect of Jiawei Bazhen Decoction on anemia after rheumatoid arthritis knee replacement.Methods 64 rheumatoid arthritis patients with anemia after knee replacement who were treated in our hospital from March 2018 to September 2019 were selected as the research objects. They were divided into a study group and a control group according to the random number table method, 32 cases in each group. Both groups underwent unilateral total knee arthroplasty, and the control group was treated with ferrous succinate tablets. The study group was treated with Jiawei Bazhen Decoction on the basis of the control group. The levels of hemoglobin, red blood cell count, and swelling at 10 cm below the midpoint of the sacrum were compared between the two groups before, on the 1st, 10th, and 6th weeks.Results There was no significant difference in hemoglobin, red blood cell count, and swelling of 10 cm below the midpoint of the sacrum between the two groups on the first day and the sixth week after the operation(P>0.05).The improvement of hemoglobin, red blood cell count, and swelling at 10 cm below the midpoint of the sacrum on the 10th day after operation in the study group was better than that in the control group,the differences were statistically significant(P<0.05).Conclusion Jiawei Bazhen Decoction can improve anemia, relieve limb swelling and early rehabilitation after rheumatoid arthritis knee replacement.

參考文獻/References:

[1]Hafez EA,Mansour HE,Hamza SH,et al.Bone mineral density changes in patients with recent-onset rheumatoid arthritis[J].Clin Med Insights Arthritis MusculoskeletDisord,2011(4):87-94. [2]Gao F,Guo W,Sun W,et al.Correlation between the coverage percentage of prosthesis and postoperative hidden blood loss in primary total knee arthroplasty[J].Chin Med J (Engl),2014,127(12):2265-2269. [3]Salt E,Wiggins AT,Rayens MK,et al.Risk Factors for Transfusions Following Total Joint Arthroplasty in Patients With Rheumatoid Arthritis[J].J Clin Rheumatoly,2018,24(8):422-426. [4]周宗科,翁習生,孫天勝,等.中國骨科手術加速康復——圍術期血液管理專家共識[J].中華骨與關節外科雜志,2017,10(1):1-7. [5]李璐兵,韓然,王雪,等.重組人紅細胞生成素聯合鐵劑治療在髖膝關節置換術貧血患者中的應用研究[J].實用骨科雜志,2016,22(10):898-901,951. [6]中華醫學會風濕病學分會.類風濕關節炎診斷及治療指南[J].中華風濕病學雜,2010,14(4):265-270. [7]閻偉,李金松,閆茹,等.祛瘀通絡方治療人工全膝關節置換術后肢體創傷性反應臨床研究[J].山東中醫藥大學學報,2017,41(6):546-549. [8]Goodman SM.Rheumatoid arthritis therapy and joint-replacement surgery:are we making a difference[J].J Rheumatol,2016,43(5):833-835. [9]Carson JL,Guyatt G,Heddle NM,et al.Clinical practice guidelines from the AABB:red blood cell transfusion thresholds and storage[J].JAMA,2016(316):2025-2035. [10]Fillingham YA,Ramkumar DB,Jevsevar DS,et al.Tranexamic Acid Use in Total Joint Arthroplasty[J].J Arthroplasty,2018,33(10):3065-3069. [11]Lu Q,Peng H,Zhou GJ,et al.Perioperative Blood Management Strategies for Total Knee Arthroplasty[J].Orthop Surg,2018,10(1):8-16. [12]王勇,馬玉琛,王志丹.類風濕關節炎貧血中醫病機與治法淺談[J].世界中醫藥,2013,8(9):1211-1123,1127. [13]薛紅莉八珍湯補益氣血作用研究進展[J].河南中醫,2010,30(10):1039-1041.

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更新日期/Last Update: 2020-02-15
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