肢体抬高驱血法在骨科上肢手术中的应用观察.docVIP

精品论文 参考文献 肢体抬高驱血法在骨科上肢手术中的应用观察 江苏省泰兴市第三人民医院 江苏泰兴 225400 【摘要】目的 观察肢体抬高驱血方法应用于骨科上肢手术中的驱血效果。方法 选择泰兴市第三人民医院自2014年1月至2015年3月期间进行的60例骨科上肢手术，随机分为观察组和对照组两组，每组30例，观察组患者采用肢体抬高方法驱血，对照组患者采用驱血带驱血，所有患者均为一次止血带时间完成的无菌手术切口病例，使用相同型号止血带，压力高于病人收缩压100mmHg。观察和比较术中出血量及术后并发症发生情况。结果 观察组患者术中出血量明显低于对照组，差异有统计学意义（Plt;0.05），即：观察组患者驱血效果优于对照组。观察组的术后并发症发生率明显低于对照组，差异有统计学意义（Plt;0.05）。结论 肢体抬高驱血法用于骨科上肢手术中，驱血效果满意，并发症发生率低，值得临床推广使用。 【关键词】骨科手术；驱血；驱血带；肢体抬高 【Abstract 】 Objective To observe the effect of limb elevation blood flooding in the operation of upper limb of the Department of orthopedics.Methods 60 patients from January 2014 to March 2015，Third Peoples Hospital of Taixing city were randomly divided into observation group and control group，two cases in each group，30 cases in each group，the patients in the observation group were treated with the method of limb elevation，and the control group was treated with the blood of the blood，All patients had completed a tourniquet time of sterile surgical incision cases，using the same types of tourniquet，the pressure of more than patients with systolic pressure 100mmhg.To observe and compare the bleeding volume and postoperative complications.Results The amount of bleeding in the observation group was significantly lower than that in the control group，the difference was statistically significant（Plt;0.05），The effect of the observation group was better than that of the control group.The postoperative complication rate of observation group was significantly lower than that of the control group，the difference was statistically significant（Plt;0.05）.Conclusion Elevation of the limb exsanguination used in orthopedic surgery of upper extremity and drive blood with satisfactory effect，low incidence of complications，worthy of clinical use. 【Key words 】Department of orthopedics operation；Blood flooding；Blood drive belt；Limb elevation 【中图分类号】R68【文献标识码】A【文章编号】2096-0867（2016）-12-007-02 骨科手术中应用驱血带和止血带可使手术视野清晰，解剖清楚，缩短手术时间，降低出血量，尤其适用于四肢末端手术。但止血带和驱血带的应用造成的伤害也