CAJ | 학술논문

目的：评价生物多糖冲洗胶液在人工股骨头置换术中的止血效果。方法48例行人工股骨头置换术的患者随机分至两组，观察组应用生物多糖冲洗胶液，对照组应用生理盐水处理创面。结果观察组中患者术后总引流量为（243.70±112.17）mL，对照组为（382.68±130.20）mL，两组病例术后总引流量的比较有明显差异（P＜0.01）；术后观察组的输血率为2%，而对照组的输血率为32%，两组病例术后输血率比较有明显差异（P＜0.05）；两组患者的入院年龄、术前血红蛋白（Hb）、红细胞比积（HCT）、血小板总数（PLT）、凝血酶原时间（PT）、凝血酶时间（TT）、术中出血量、不良事件等均无明显差异（P＞0.05）。结论生物多糖冲洗胶液能有效治疗术后创面出血，且方便、安全，具有确切的临床使用价值。
목적：평개생물다당충세효액재인공고골두치환술중적지혈효과。방법48례행인공고골두치환술적환자수궤분지량조，관찰조응용생물다당충세효액，대조조응용생리염수처리창면。결과관찰조중환자술후총인류량위（243.70±112.17）mL，대조조위（382.68±130.20）mL，량조병례술후총인류량적비교유명현차이（P＜0.01）；술후관찰조적수혈솔위2%，이대조조적수혈솔위32%，량조병례술후수혈솔비교유명현차이（P＜0.05）；량조환자적입원년령、술전혈홍단백（Hb）、홍세포비적（HCT）、혈소판총수（PLT）、응혈매원시간（PT）、응혈매시간（TT）、술중출혈량、불량사건등균무명현차이（P＞0.05）。결론생물다당충세효액능유효치료술후창면출혈，차방편、안전，구유학절적림상사용개치。
Objective To evaluate the reducing bleeding efficacy of bio-polysaccharide washing colloidal solution in artificial femoral head replacement. Methods 48 patients undergoing artificial femoral head replacement were randomly assigned to receive using bio-polysaccharide washing colloidal solution(Group Ⅰ ),stroke-physiological saline solution(GroupⅡ) in operation. Results Total postoperative drainage volume in GroupⅠwas (243.70±112.17) mL,which was significantly as against Group Ⅱ (382.68±130.20)mL(P < 0.01). Postoperative transfusion of blood rates in GroupⅠwas 2%,which was significantly as against GroupⅡ32%(P<0.05). Groups' preoperative levels of age,hemoglobin(Hb),hematocrit(HCT),total number of platelets(PLT),prothrombin time(PT),thrombin time(TT),adverse event were no-significantly(P > 0.05). Conclusion Bio-polysaccharide washing colloidal solution can effectively treat postoperative bleeding, and convenient, safe, with the exact clinical value.