过氧化氢在腺样体切除术止血中的应用.docVIP

3%?过氧化氢在腺样体切除术止血中的应用 王振英 蔡 邦 陈国锋云浮市人民医院耳鼻喉科，广东云浮 5?27?30?0 ?目的 探索减少腺样体切除术出血的方法。方法 对206?例行腺样体切除术的患者术中出血情况进行分析，使用3%?过氧化氢棉球压迫止血者为观察组，使用生理盐水棉球压迫止血者为对照组。评价两组术中、术后出血情况。结果 观察组止血有效率9 1?.6?7%?，对照组止血有效率8 1?.4?0%?，两组间差异有统计学意义（χ2=?4.?79?，P 0?.0?5）；观察组术中出血量（35?.7?6±?8.?70?）mL，对照组术中出血量（43.?35?±1?2.?86?）mL，两组间差异有统计学意义（P ?0.?05?）；观察组术后出血率0.?83?%，对照组术后出血率 1?.1?6%?，两组间差异无统计学意义（P＞0.0?5）。结论 腺样体切除术中使用3%过氧化氢棉球压迫止血，可以明显减少腺样体手术中出血。教关键词 过氧化氢；腺样体切除术；止血 R?4 ? A? ?16?74?-0?74?２（２０１4）07（b）－０02?8-?03?Ap?pl?ic?at?io?n ?of? 3?% ?Hy?dr?og?en? P?er?ox?id?e ?in? t?he? H?em?os?ta?si?s ?Du?ri?ng? A?de?no?id?ec?to?my?WA?NG? Z?he?ny?in?g ?CA?I ?Ba?ng? C?HE?N ?Gu?of?en?gD?ep?ar?tm?en?t ?of? E?NT?， Yu?nf?u ?Pe?op?le?’s? H?os?pi?ta?l， Y?un?fu?， Gu?an?gd?on?g ?Pr?ov?in?ce?， 52?73?00?， Ch?in?a ?Ob?je?ct?iv?e ?To? e?xp?lo?re? t?he? m?et?ho?d ?fo?r ?re?du?ci?ng? t?he? h?em?or?rh?ag?e ?in? a?de?no?id?ec?to?my?. ?Me?th?od?s ?Th?e ?bl?ee?di?ng? s?ta?tu?s ?in? a?de?no?id?ec?to?my? o?f ?20?6 ?ca?se?s ?wa?s ?an?al?yz?ed?. ?Pa?ti?en?ts? u?se?d ?3%? h?yd?ro?ge?n ?pe?ro?xi?de? c?ot?to?n ?ba?ll? f?or? h?em?os?ta?si?s ?we?re? s?et? a?s ?th?e ?ob?se?rv?at?io?n ?gr?ou?p， a?nd? p?at?ie?nt?s ?us?ed? s?al?in?e ?co?tt?on? b?al?l ?fo?r ?he?mo?st?as?is? w?er?e ?se?t ?as? t?he? c?on?tr?ol? g?ro?up?. ?An?d ?th?e ?in?tr?ao?pe?ra?ti?ve? a?nd? p?os?to?pe?ra?ti?ve? b?le?ed?in?g ?of? t?he? t?wo? g?ro?up?s ?wa?s ?ev?al?ua?te?d.? R?es?ul?ts? T?he? h?em?os?ta?ti?c ?ef?fi?ci?en?cy? o?f ?th?e ?ob?se?rv?at?io?n ?gr?ou?p ?wa?s ?9 ?1.?67?%， a?nd? t?ha?t ?of? t?he? c?on?tr?ol? g?ro?up? w?as? 8? 1?.4?0%?， th?e ?di?ff?er?en?ce? b?et?we?en? t?he? g?ro?up?s ?wa?s ?st?at?is?ti?ca?ll?y ?si?gn?if?ic?an?t(?χ2?=4?.7?9，P ?0.?05?)； t?he? i?nt?ra?op?er?at?ve? b?lo?od? l?os?s ?of? t?he? o?bs?er?va?ti?on? g?ro?up? w?as? (?35?.7?6±?8.?70?)m?l， a?nd? t?ha?t ?of? t?he? c?on?tr?ol? g?ro?up? w?as? (?43?.3?5±?12?.8?6)?ml?， th?e ?di?ff?er?en?ce? b?et?we?en? t?he? t?wo? g?ro?up?s ?wa?s ?st?at?is?ti?ca?ll?y ?si?gn?if?ic?an?t(?P ?0.?05?)； t?he? p?os?to?pe?ra?ti?ve? b?