CAJ | 학술논문

目的：探讨可吸收生物止血材料应用于普通外科手术的临床效果及其安全性，完善临床应用。方法选取2013年2月～2014年1月于我院就诊的140例接受普外科手术的患者，随机分为观察组及对照组各70例，观察组术中采用可吸收止血膜止血，对照组术中采用常规方法止血，观察两组患者的术中出血量、止血时间、术后24h引流量等，比较分析两种方法的疗效及安全性。结果观察组止血效果优于对照组，观察组术中止血时间、出血量、术后24h引流量显著少与对照组，两组比较差异有统计学意义（P＜0.05），观察组患者中出现5例轻度发热，3例血压轻度上升，未进行特殊治疗而自愈；对照组患者其中4例轻度贫血，2例进行二次手术，3例切口感染，7例体温升高，5例血压升高，给予对症治疗后治愈。结论吸收性生物止血材料止血效果显著，安全性高，值得在临床普通外科手术中加以推广应用。
목적：탐토가흡수생물지혈재료응용우보통외과수술적림상효과급기안전성，완선림상응용。방법선취2013년2월～2014년1월우아원취진적140례접수보외과수술적환자，수궤분위관찰조급대조조각70례，관찰조술중채용가흡수지혈막지혈，대조조술중채용상규방법지혈，관찰량조환자적술중출혈량、지혈시간、술후24h인류량등，비교분석량충방법적료효급안전성。결과관찰조지혈효과우우대조조，관찰조술중지혈시간、출혈량、술후24h인류량현저소여대조조，량조비교차이유통계학의의（P＜0.05），관찰조환자중출현5례경도발열，3례혈압경도상승，미진행특수치료이자유；대조조환자기중4례경도빈혈，2례진행이차수술，3례절구감염，7례체온승고，5례혈압승고，급여대증치료후치유。결론흡수성생물지혈재료지혈효과현저，안전성고，치득재림상보통외과수술중가이추엄응용。
Objective To expolre the curative effect and safety of application of absorbable hemostatic materials in general surgery operation. Methods 140 patients who were received general surgery operations in our hospital from February 2013 to January 2014 were randomLy allocated to observation group and control group with 70 patients in each group. The observation group was used absorbable hemostatic membrane to stop bleeding in the operation, and the control group was used conventional method to stop bleeding. The amount intraoperative bleeding, time of hemostasis, drainage volume 24h after operation of the two groups were observed, and curative effect and safety of the two groups were compared and analyzed. Results The hemostatic effect in the observation group was better than that in the control group. Time of intraoperative hemostasis, bleeding volume and drainage volume 24h after opeartive in the observation group were significantly shorter and lower than those in the control group, and the difference was statistically significant (P < 0.05). 5 patients with mild fever and 3 cases with mild rise in blood pressure were observed in observation group, and they were self-cured without any special treatment. 4 patients with mild anemia, 2 patients with secondary surgery, 3 patients with incison infection, 7 patients with temperature rising and 5 patients with elevated blood pressure were obseraved in control group, and they were cured with symptomatic treatment. Conclusion The biological hemostatic material is worthy of promotion and application in clnical general surgery with significant hemostatic effect and high safety.