解剖型止血带用于膝关节镜下前交叉韧带重建术的效果观察  

Effect observation on the application of anatomical form tourniquet for anterior cruciate ligament rebuilding operation under knee arthroscope

作　　者：李整凤[1] 金洋[1] 马琼[1] 张述萍[1] 

机构地区：[1]北京积水潭医院手术室,北京100035

出　　处：《护士进修杂志》2007年第9期784-785,共2页Journal of Nurses Training

摘　　要：目的比较膝关节镜下手术使用解剖型气囊止血带和传统气囊止血带在止血效果、止血带不良反应及副损伤的发生情况,以选择更有利于膝关节镜手术安全的止血带。方法选择160例膝关节镜下行前交叉韧带重建术(ACL)的患者,采用连续进行的方式分为实验组和对照组,每组80例。实验组采用解剖型气囊止血带,对照组采用传统气囊止血带。结果两组充气后止血效果均满意。术中对照组的不良反应发生率为11%,术后止血带副损伤发生率为9%,均明显高于实验组,差异有显著意义(P<0.05)。结论解剖型充气止血带较传统止血带耐受好,不良反应及副损伤发生率低,值得临床推广。Objective To compare the effect of hemostasia, incidence rate of side effect and wound between the hemostasia by applying anatomical form air pocket tourniquet for operation under knee arthroscope and routine air cell tourniquet, and to find more safe tourniquet for knee arthroscope operation. Method 160 patients with anterior cruciate ligament rebuilding operation under knee arthroscope were selected and divided into experimental group and control group. Each group has 80 patients, the anatomical form air pocket tourniquet was applied for experimental group, routine air cell tourniquet was used in control group. Result The hemostasia effect was satisfied for both of the two groups, The incidence rate of side effect during operation and postoperative wound in control were 11 % and 9 % respectively, those two indicator were significantly higher than that of experimental（P〈0.05）. Conclusion The anatomical form air pocket tourniquet is more effect, low incidence of side effect and wound, and worth for clinical generalizing.

关 键 词：膝关节镜 气囊止血带 充气压力 下肢手术 

分 类 号：R472.3[医药卫生—护理学]