CAJ | 학술논문

目的应用头发交叉固定术(hair apposition technique,HAT)治疗头皮裂伤,比较HAT与传统清创缝合术的优缺点.方法将50名急诊头皮裂伤患者分为HAT组和对照组.HAT组(30例)采用头发交叉组织胶固定术治疗,对照组(20例)采用传统清创缝合术治疗.分别比较两组在操作时间、疼痛评分、患者接受程度和并发症等方面的差别.结果 HAT组的清创时间(min)少于对照组[(3.33 4±1.65)vs.(6.05 4±2.32);t=4.85,P<0.01];HAT组的疼痛评分低于对照组[(1.73 4±1.01)vs (3.20 4±1.58);t:4.01,P<0.01];患者对HAT的接受程度高于对照组(100%/35.55%,X2=16.46,P<0.01).结论应用HAT治疗头皮裂伤具有操作简单、疼痛较轻、伤口愈合满意,患者接受度高等优点,适合在急诊应用.
목적 응용두발교차고정술(hair apposition technique,HAT)치료두피렬상,비교HAT여전통청창봉합술적우결점.방법 장50명급진두피렬상환자분위HAT조화대조조.HAT조(30례)채용두발교차조직효고정술치료,대조조(20례)채용전통청창봉합술치료.분별비교량조재조작시간、동통평분、환자접수정도화병발증등방면적차별.결과 HAT조적청창시간(min)소우대조조[(3.33 4±1.65)vs.(6.05 4±2.32);t=4.85,P<0.01];HAT조적동통평분저우대조조[(1.73 4±1.01)vs (3.20 4±1.58);t:4.01,P<0.01];환자대HAT적접수정도고우대조조(100%/35.55%,X2=16.46,P<0.01).결론 응용HAT치료두피렬상구유조작간단、동통교경、상구유합만의,환자접수도고등우점,괄합재급진응용.
Objective To treat scalp lacerations by using the hair apposition technique (HAT) and to compare the HAT with standard suturing in a controlled prospective trial. Method Fifty patients with scalp lacerations were treated either by HAT or by standard suturing. Two groups were evaluated in consumed times for operation, pain sores, and complications. Results There were 30 HAT patients and 20 patients treated with suturing. The took shorter operation time consumed[(3.33 vs. (6.05 t = 4.85.P < 0.01], and HAT produced significantly lower pain score [(1.73vs. (3.20t = 4.01,P < 0.01]. There was a trend that more and more patients were willing to have HAT performed. Conclusions The advantages of HAT include a shorter time consumed for operation, less pain, satisfactory wound healing, and high acceptance by patients. HAT is acceptable for treating scalp lacerations in emergency room.