个体充气压力对气囊止血带止血效果的影响  

THE INFLUENCE OF INDIVIDUAL INFLATION PRESSURE ON HEMOSTASIS USING PNEUMATIC TOURNIQUET

作　　者：郑岩[1] 董艳[1] 刘风霞[1] 田玉芹[1] 丁弘[1] 

机构地区：[1]青岛大学医学院附属医院手术室,山东青岛266003

出　　处：《青岛大学医学院学报》2012年第5期445-446,共2页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的探讨根据下肢肢体周径调节气囊止血带充气压力对下肢手术部位止血效果与并发症的影响。方法将200例下肢手术中应用气囊止血带的病人随机分为2组,各100例。实验组测量个体大腿上1/3近腹股沟处肢体周径值作为充气压力数值,肢体周径>60cm者,充气压力为60kPa;对照组采用止血仪说明书指导值(65kPa)作为充气压力。结果实验组止血效果满意99例,对照组为100例,两组差异无统计学意义;实验组皮肤损伤、肢体疼痛、神经麻痹的发生率均明显低于对照组(χ2=4.08～17.74,P<0.05)。结论以下肢肢体束缚止血带处周径数值作为气囊止血带的充气压力数值,压力最高不超过60kPa,既收到满意止血效果,最大限度地减少了术后并发症的发生,又简单易行。Objective To investigate the hemostasis using pueumatic tourniquet（PT） by adjusting the inflation pressure based on circumference of lower limb in surgery for lower limbs and complications.Methods This study consisted of 200 patients who had a surgery for lower limbs by using PT,they were equally divided into two groups in random.The patients in experimental group were measured for the circumference at the 1/3 of the upper thigh,and served as the numerical value for measuring the pressure of PT.For circumference of 60 cm,the inflated pressure was 60 kPa;for those in the control group,the pressure was inflated according to the instructions of PT（65 kPa）.Results The satisfaction of hemostasis in the experimental group was 99 cases,and that in the control was 100,the difference was not significant between the two groups;the incidence of skin injury,pain in limbs,and nerve palsy was lower than that in the control（χ2=4.08-17.74,P〈0.05）.Conclusion When the numerical value of the thigh circumference at which the PT was tied to be served as reference for inflating the pressure,not higher than60 kPa,which is not only to reach satisfactory hemostasis,but also maximal reduction of postoperative complications.

关 键 词：止血带 压力 下肢周径 治疗结果 

分 类 号：R472[医药卫生—护理学]