膝关节镜手术中止血带不同使用时机的效果观察  

Effect of using tourniquet in different time in knee arthroscopic operation

作　　者：李振荣[1] 秦洁[1] 文素芳[1] 邹国耀[1] 李毅[1] 

机构地区：[1]桂林医学院附属医院手术室,桂林市541001

出　　处：《护理管理杂志》2016年第2期143-144,共2页Journal of Nursing Administration

基　　金：广西壮族自治区卫生厅自筹经费课题(Z2014330)

摘　　要：目的探讨膝关节镜手术中不同时机使用止血带对患者的影响。方法将200例进行膝关节镜手术的骨性关节炎患者分为实验组和对照组各100例,对照组患者手术开始就使用止血带即全程使用止血带,实验组患者仅在处理滑膜和关节面时使用止血带。结果两组患者的手术时间差异无统计学意义(P>0.05);但实验组患者术后皮肤损伤发生率降低(P<0.01),术后疼痛评分降低(P<0.01),对手术室的满意度提高(P<0.01)。结论膝关节镜手术中途使用止血带不会延长手术时间,能有效减少皮肤损伤,降低患者疼痛,提高患者对手术室的护理满意度。Objective To investigate the influence of using tourniquet in different time in knee arthroseopie operation. Methods Totally,200 patients were randomly divided into the experimental group and the control group ,with 100 eases in each group. Patients in the control group started using tourniquet at start of operation （ using tourniquet the whole course） ,while patients in the experimental group only used tourniquet in the treatment of the synovium and articular surface （ using at halfway）. Results The operation time of the two groups was not different （ P 〉 0.05 ）, but the incidence of skin damage and VAS score in the experimental group were both lower than those of the control group, and patients satisfaction increased （ P 〈 0.01 ）. Conclusion Using tourniquet at the middle of knee arthroseopic operation cannot increase operation time, and can reduce skin damage, relieve patient pain, improve patient satisfaction effectively.

关 键 词：膝关节镜手术 止血带 皮肤损伤 

分 类 号：R472.3[医药卫生—护理学]