新型止血带应用于四肢骨科手术患者中的护理效果  

Nursing effect of new tourniquet applied to patients undergoing orthopedic surgery on extremities

作　　者：戴玲 吴芳[1] DAI Ling;WU Fang(Operating Room,Nanchang Hongdu Hospital of Traditional Chinese Medicine,Nanchang 330000,China)

机构地区：[1]南昌市洪都中医院手术室,江西南昌330000

出　　处：《中国现代医生》2022年第18期208-211,共4页China Modern Doctor

基　　金：江西省卫生健康委科技计划项目(202140173)。

摘　　要：目的探讨新型止血带应用于四肢骨科手术患者中的护理效果。方法选取2019年1~12月期间南昌市洪都中医院手术室收治的60例患者作为研究对象,根据随机数字表法分为对照组与观察组,每组各30例。对照组应用传统止血带,观察组应用新型止血带,比较两组术区止血效果、术中出血量、止血带休克发生率、下肢止血带放松前后血压水平。结果观察组止血优良率高于对照组,差异有统计学意义(P<0.05)。观察组出血量少于对照组,差异有统计学意义(P<0.05)。观察组止血带休克发生率低于对照组,差异有统计学意义(P<0.05)。止血带放松后3 min,止血带放松后3 min,两组收缩压(SBP)、舒张压(DBP)水平均低于止血带放松前,比较发现对照组低于观察组(P<0.05)。结论在四肢骨科手术患者护理中应用新型止血带,不仅能够取得理想的止血效果,减少出血量,而且有助于降低止血带休克发生率,保证患者血压水平的稳定。Objective To explore the nursing effect of a new tourniquet applied to patients undergoing orthopedic surgery on extremities.Methods Sixty patients who were admitted to the Operating Room of Nanchang Hongdu Hospital of Traditional Chinese Medicine from January to December 2019 in our hospital were selected as the research objects,and were divided into the control group and the observation group according to random number table method,with 30 patients in each group.The traditional tourniquet was used in the control group,and the new tourniquet was used in the observation group.The hemostatic effects,amounts of intraoperative bleeding,incidences of tourniquet shock and blood pressure levels before and after relaxation of tourniquet in lower limbs were compared between the two groups.Results The excellent and good rate of hemostasis in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The amount of bleeding in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).The incidence of tourniquet shock in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).At 3min after tourniquet relaxation,the levels of systolic blood pressure(SBP)and diastolic blood pressure(DBP)in both groups were lower than those before tourniquet relaxation,and those of the control group was lower than those of the observation group(P<0.05).Conclusion The application of a new tourniquet in the nursing of patients undergoing orthopedic surgery on extremities can not only achieve ideal hemostatic effect and reduce the amount of bleeding,but also help to reduce the incidence of tourniquet shock and ensure the stability of the patients′blood pressure levels.

关 键 词：新型止血带 四肢骨科手术 出血量 止血效果 

分 类 号：R473.5[医药卫生—护理学]