肾上腺素盐水冲洗液在腭裂修复术的止血效果  

Application of epinephrine saline rinsing solution in hemostasis of cleft palate repair

作　　者：陈燕珠[1] 谢思田[2] 潘君娜 江佳妮 曾奕娜 石伦刚[2] Chen Yanzhu;Xie Sitian;Pan Junna;Jiang Jiani;Zeng Yina;Shi Lungang(Operating room,Second Affiliated Hospital,Shantou University Medical College,Shantou 515041,China;Department of Burn and Plastic Surgery,Second Affiliated Hospital,Shantou University Medical College,Shantou 515041,China)

机构地区：[1]汕头大学医学院第二附属医院手术室,广东汕头515041 [2]汕头大学医学院第二附属医院烧伤整形外科,广东汕头515041

出　　处：《中华医学美学美容杂志》2021年第3期203-205,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨肾上腺素盐水冲洗液在腭裂修复术的止血效果。方法2018年1月至2020年12月,汕头大学医学院第二附属医院烧伤整形科在手术室行腭裂修复术100例患儿,男51例,女49例,年龄6个月至12岁(2.50±2.49)岁。随机分为两组,A组43例术中用肾上腺素盐水冲洗液冲洗切口,术后气管插管拔管前用冲洗液浸泡的纱布填塞口腔;B组57例术中不用冲洗液,比较两组患儿术中出血量、手术时长。结果A组术中用肾上腺素盐水冲洗液后,患儿术中出血量(16.23±4.88)ml,明显少于B组(19.26±4.13)ml,手术时长A组(109.79±40.27)min,较B组(137.16±50.47)min明显缩短,差异有统计学意义(t=2.92,P<0.05)。结论腭裂修复术术中用肾上腺素盐水冲洗液冲洗切口并术后气管插管拔管前用冲洗液浸泡的纱布填塞口腔,能显著减少出血量,缩短手术时间。Objective To investigate the hemostatic effect of epinephrine saline rinse solution in cleft palate repair.Methods A total of 100 children who underwent cleft palate repair in the operating room of the Second Affiliated Hospital of Shantou University Medical College from 2018 to 2020 were selected,Among them,51 were males and 49 females,aged from 6 months to 12 years,with an average(2.5±2.49)years.The patients were divided into two groups according to whether to use epinephrine saline flushing fluid:in group A,43 cases were treated with adrenaline saline irrigation solution to wash the incision during the operation;gauze soaked in rinse solution was used to fill the oral cavity before endotracheal intubation and extubation after operation;in B group of 57 cases,no intraoperative rinses were used.The intraoperative blood loss and operation duration were compared between the two groups.Results Intraoperative use in group A after adrenaline saline rinses showed that the intraoperative blood loss of children(16.23±4.88)ml was significantly lower than that of group B(19.26±4.13)ml.The duration of operation in group A(109.79±40.27)min was significantly shorter than that in group B(137.16±50.47)min,The difference was statistically significant(t=2.92,P<0.05).Conclusions The incision is rinsed with epinephrine saline solution during cleft palate repair.In addition,before endotracheal intubation and extubation after operation,gauze soaked in rinsing solution is used to fill the oral cavity,which could significantly reduce the amount of bleeding and shorten the operation time.

关 键 词：腭裂 修复外科手术 肾上腺素盐水冲洗液 止血效果 

分 类 号：R782.22[医药卫生—口腔医学]