骨关节炎是骨关节方面常见疾病，而髋膝关节置换术是治疗终末期骨关节炎的有效方法。由于髋膝关节置换围手术期贫血发生率高和出血量大，故安全、有效的血液管理有助于加快患者康复进程。目前髋膝关节置换血液管理贯穿于围手术期各个环节，大致为术前纠正贫血、术中控制出血和术后改善贫血，应根据患者具体病情变化采取相应方式，减少围手术期出血、贫血及输血发生率，加快患者康复进程。本文通过分析、总结髋膝关节置换围手术期血液管理方面相关国内、外文献，综述髋膝关节置换围手术期血液管理研究进展。

Osteoarthritis is a common disease of bone and joint, hip and knee arthroplasty is an effective method for the treatment of end-stage osteoarthritis.Beacause of the high incidence of anemia and large amount of bleeding during the perioperative period of hip and knee arthroplasty, safe and effective blood management is helpful to accelerate the recovery process of patients.At present, the blood management of hip and knee arthroplasty runs through all aspects of the perioperative period, which roughly includes correcting anemia before operation, controlling bleeding during operation and improving anemia after operation.In order to accelerate the recovery process of patients, corresponding methods should be adopted according to the specific changes of patients’ condition to reduce the incidence of perioperative bleeding、anemia and blood transfusion.This article reviewed the research progress of blood management in perioperative period of hip and knee arthroplasty by analyzing and summarizing the relevant domestic and foreign literature on blood management during the perioperative period of hip and knee arthroplasty.