糖尿病患者行人工髋关节置换术的围手术期治疗

• 作 者: 贾国胜 刘志新 池青
• 机 构: 河北省秦皇岛市第一医院骨一科,河北省秦皇岛市第一医院骨一科,河北省秦皇岛市第一医院骨一科,
• 出 处: 中国实用医药
• 发表日期: 2007年35期
• 关键词: 人工髋关节置换术 围手术期治疗 糖尿病

目的目前,探索糖尿病患者行人工髋关节置换术(THA)的围手术期处理。方法对糖尿病患者行THA17例(19髋),围手术期在内科医师的配合下控制血糖。结果1例出现一过性坐骨神经麻痹;2例伤口裂开;1例发生深部感染。Harris评分从术前平均58.4分提高到术后的86.2分,优良率94.7%。随访4.1年后Harris评分平均为75.4分,优良率为85.3%。结论对于没有心、肾以及周围血管并发症的糖尿病患者,经过正确的围手术期治疗,行THA疗效满意。

Objective To explore the perioperative management of diabetic patients undergoing total hip arthroplasty (THA). Methods THA was performed in 17 patients (19 hips) with diabetes mellitus. Blood glucose was controlled during the perioperative period with physicians. One patient had transient sciatic nerve paralysis, two had dehiscence and one had deep infection. The Harris score increased from an average of 58.4 points preoperatively to 86.2 points postoperatively, with an excellent and good rate of 94.7%. After 4.1 years, the average Harris score was 75.4 points, the excellent and good rate was 85.3%. Conclusions For diabetic patients without cardiac, renal and peripheral vascular complications, THA is satisfactory with the right perioperative management.