Intra-articular Pressure, Delaying The Opening Of The Drainage Tube On Reducing Observation Of Postoperative Drainage Total Knee Arthroplasty

ObjectiveObserved after total knee arthroplasty articular injection of epinephrine plus saline efficacy of postoperative drainage, and intravenous TMP injection, injection Mailuoning rehabilitation process after deep veinthrombosis prophylaxis efficacy for postoperative intra-articular pressure, delaying the opening of the drainage tube and intravenous drug used in Chinese medicine after total knee arthroplasty reduce drainage, postoperative rehabilitation on process to reduce the risk of deep vein thrombosis promotional offers clinical basis.MethodsChoice because of knee osteoarthritis and rheumatoid arthritis, unilateral total knee arthroplasty in30patients, according to a double-blind randomized into two groups (A group) and control group (group B), each group15cases, all sex, age was not statistically significant (P<0.05). A group of patients to intra-articular injection of epinephrine+100ml saline2mg, B group surgery to intra-articular injection of tranexamic acid10ml+20ml saline. Which combined with the observation group after intravenous TMP, Mailuoning subcutaneous injection and low molecular weight heparin prophylaxis of deep vein thrombosis, the control group was combined with intravenous TMP, Mailuoning Injection prevention of deep vein thrombosis. Postoperative treatment and rehabilitation groups using conventional training methods consistent with the rest. Were recorded actual postoperative drainage (drainage minus visually recorded after each injection of saline solution containing the drug dose derived drainage); and former record both groups, postoperative Id, postoperative3d,7d after D-dimer values and the associated adverse situations that may arise after the comparison between the two groups, the control group were observed after TKA evaluate postoperative drainage efficacy and postoperative prophylaxis of deep vein embolization effect.ResultsTwo groups of patients before surgery gender, age difference was not statistically significant (P>0.05). Postoperative drainage group actually mean slightly higher, but aswith the control group were controlled within250ml, the effect is satisfactory, the differencewas not statistically significant (P>0.05). Antithrombotic use in Chinese medicine, throughcomparing D-dimer values in the observation group postoperative1d,3d and1d,7d afterpairwise comparison, D-dimer values decreased, the difference was statistically significance (P<0.05). Postoperative3d, the contrast between the7d, D-dimer value was not significantly different, the difference was not statistically significant (P>0.05).Observation group and control group after comparing postoperative1d,3d room after no statistically significant difference between groups (P>0.05), that the two groups were not significant treatment effect. As7d groups there were significant differences inpostoperative (P<0.05), which may be due to the formation of individual differences. In addition, adverse events, and by chi-square test, the number of cases of adverse reactions observed group and the control group were not significant, the difference was not statistically significant (P>0.05).