气压止血带个体化压力设置策略对四肢骨科手术止血效果的影响

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

黄玲¹ 

关键词: 气压止血带;    个体化;    充气压力;    止血效果;    副损伤;    骨科手术;    术中躁动;   

DOI  :  10.11997/nitcwm.201808028

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To investigate the effect of individualized inflation pressure setting of pneumatic tourniquet in surgical hemostasis in the limb orthopedic surgery. Methods 〓A total of 210 patients with limb orthopedic surgeries were randomly divided into blood pressure(BP)group, limb diameter(LD)group and traditional pressure(TP)group. The inflation pressure of pneumatic tourniquet was set based on the systolic pressure in the BP group, based on limb diameter in the LD group and based on the recommended value. The efficacy on surgical hemostasis, collateral damage and intraoperative agitation were observed and compared among three groups. Results 〓The inflation pressure of pneumatic tourniquet in BP group and LD group was lower than that in the TP group(P<0.05). There was a better hemostatic effect in the BP group and LD group compared with that in the TP group(χ2=6.71,P=0.03;χ2=8.53,P=0.01). The evaluation on collateral damage in BP group and LD group was better than that in the LD group(χ2=9.76,P=0.01;χ2=9.14,P=0.01). Compared with patients in the LD group, patients in the BP group and LD group had a less severity of intraoperative agitation(χ2=9.95,P=0.02;χ2=10.65,P=0.01). Conclusion 〓The individualized inflation pressure setting of pneumatic tourniquet is effective to improve the hemostatic effect and reduce the risk of collateral damage in the limb orthopedic surgery.

【 授权许可】

CC BY-NC