CAJ | 학술논문

目的：探讨小儿胫腓骨骨折手术使用止血带的科学方法，以减少出血量，缩短手术时间，降低止血带使用不良并发症，提高手术、护理工作质量等。方法将择期胫腓骨骨折手术患儿90例随机分为止血带常规使用操作组(A组)、止血带改良使用操作组(B组)，比较两组的效果。结果B组在有效创造无血术野减少出血量、缩短手术时间、降低止血带使用出现皮肤相关不良并发症方面明显优于A组，二者比较差异有统计学意义(P<0.05)。结论小儿胫腓骨骨折手术使用止血带时应该进行个性化操作设计，可有效创造无血术野，减少手术出血、缩短手术时间、降低止血带使用不良并发症，提高手术、护理工作质量。
목적：탐토소인경비골골절수술사용지혈대적과학방법，이감소출혈량，축단수술시간，강저지혈대사용불량병발증，제고수술、호리공작질량등。방법장택기경비골골절수술환인90례수궤분위지혈대상규사용조작조(A조)、지혈대개량사용조작조(B조)，비교량조적효과。결과B조재유효창조무혈술야감소출혈량、축단수술시간、강저지혈대사용출현피부상관불량병발증방면명현우우A조，이자비교차이유통계학의의(P<0.05)。결론소인경비골골절수술사용지혈대시응해진행개성화조작설계，가유효창조무혈술야，감소수술출혈、축단수술시간、강저지혈대사용불량병발증，제고수술、호리공작질량。
Objective To explore the scientific methods of use of tourniquet during operation of children with fractures of tibia and fibula, in order to reduce surgical bleeding, shorten operation time, reduce the complications caused by use of tourniquet, and improve the quality of operation and nursing. Methods 90 children with selective operation of fractures of tibia and fibula were randomly divided into group A (routine use of tourniquet) and group B (improved use of tourniquet), to compare the clinical outcomes. Results Compared with group A, group B had less blood loss, shorter operation time, fewer incidence of skin-related complications, with statistical difference (all P<0.05). Conclusions Personal use of tourniquet during operation of children with fracture of tibia and fibula can effectively reduce surgical bleeding, shorten operation time, reduce the complications caused by use of tourniquet, and improve the quality of operation and nursing.