CAJ | 학술논문

目的：比较骨科下肢手术中3种设定电脑空气止血带压力方法的止血效果。方法将90例患者根据手术日期分成3组，上肢收缩压组患者止血带压力以右上肢收缩压2倍为止血带压力；血氧饱和度组患者止血带压力以当术侧患肢趾端血氧饱和度波形成直线时的充气压力为止血带压力；彩超组患者止血带压力以便携式彩超观察腘动脉血流峰图完全消失时的充气压力为止血带压力；比较3组患者的止血效果。结果上肢收缩压组效果最差，血氧饱和度组次之，彩超组最好，因此采用彩超设定止血带压力效果最好。结论以彩超指导设定空气止血带压力的效果佳，有利于术中止血带压力的个体化设定和护理，值得在临床推广使用。
목적：비교골과하지수술중3충설정전뇌공기지혈대압력방법적지혈효과。방법장90례환자근거수술일기분성3조，상지수축압조환자지혈대압력이우상지수축압2배위지혈대압력；혈양포화도조환자지혈대압력이당술측환지지단혈양포화도파형성직선시적충기압력위지혈대압력；채초조환자지혈대압력이편휴식채초관찰객동맥혈류봉도완전소실시적충기압력위지혈대압력；비교3조환자적지혈효과。결과상지수축압조효과최차，혈양포화도조차지，채초조최호，인차채용채초설정지혈대압력효과최호。결론이채초지도설정공기지혈대압력적효과가，유리우술중지혈대압력적개체화설정화호리，치득재림상추엄사용。
Objective To compare hemostatic effects of different computerized air tourniquet pressure for patients undergoing operation for lower limb. Methods Ninety patients were divided into different computerized air tourniquets which were applied in three groups, then hemostatic effects in different group were compared. Results Comparatively, it achieved good hemostatic effect in color ultrasound group followed by upper limb systolic blood pressure group and blood oxygen saturation group. Conclusion Air tourniquet pressure controlled with color ultrasound achieved good hemostatic effect and it is worth to be popularized in clinic.