单髁与全膝置换治疗膝骨性关节炎炎性指标变化
DOI:
作者:
作者单位:

海警医院

作者简介:

通讯作者:

中图分类号:

基金项目:

浙江省嘉兴市公益性研究计划(2019AD32215)


Changes of inflammatory indexes of knee osteoarthritis treated with unicompartmental and total knee arthroplasty
Author:
Affiliation:

1.China Coast Guard Hospital of the People'2.'3.s Armed Police Force

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:对于未感染病例,比较分析C反应蛋白(C-reactive protein ,CRP)、降钙素原(procalcitonin,PCT)和红细胞沉淀率(erythrocyte sedimentation rate,ESR)在单髁置换(unicompartmental knee arthroplasty,UKA)和全膝关节置换(total knee arthroplasty,TKA)两种术式术后的变化。 方法:回顾性分析了2017年1月至2018年12月在我科收治的内侧间室骨性关节炎行UKA或TKA手术的非感染患者的资料,单髁置换手术组(49例),全膝关节置换手术组(47例),统计两组患者住院期间(术前,术后第1、3、6天)的CRP、PCT及ESR数据,评估两组患者围手术期CRP、PCT及ESR的血流动力学变化。 结果:UKA手术组术后第1天、第3天及第6天的CRP均比TKA手术组低,差异有统计学意义(P<0.05),术后第1天UKA组PCT升高的比例明显低于TKA组,而术后ESR水平两组患者之间没有统计学差异。 结论:对内侧间室骨性关节炎而言,行UKA手术与TKA手术相比,术后可以观察到更低的CRP峰以及更快的CRP动力学恢复。从血感染指标的血流动力学角度进一步论证了UKA具有创伤小、炎症反应低等优点。

    Abstract:

    Objective:The purpose of this study was to evaluate and compare the postoperative CRP, PCT counts, and ESR after UKA and TKA,which was proved to be non-infection. Method: Fourty-nine patients of UKA and fourty-seven patients of TKA which were proved to be non-infection from january 2017 to december 2018 were enrolled in this study.Blood samples of CRP、PCT and ESR were obtained before surgery and postoperative day (POD) 1, POD3, and POD6.All datas between groups over time were assessed. Results: Changes in CRP between UKA and TKA groups over time were both statistically significant(p<0.05), respectively.The percentage of PCT elevation in the TKA group was significantly higher than that in the UKA group on the first day after surgery.However, no significant difference was found in ESR over time. Conclusions: For medial compartment osteoarthritis, we found that a lower CRP peak with faster recovery of CRP kinetics was observed after UKA.We further proves that UKA has the advantages of less trauma and low inflammatory response from the perspective of hemodynamics of blood infection indicators.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2020-03-11
  • 最后修改日期:2020-07-01
  • 录用日期:2020-07-27
  • 在线发布日期:
  • 出版日期: