中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
29期
36-38
,共3页
可吸收止血微球%肝脏外科%止血
可吸收止血微毬%肝髒外科%止血
가흡수지혈미구%간장외과%지혈
Absorbable hemostatic microspheres%Hepatic surgery%Hematischesis
目的：观察可吸收止血微球在肝脏手术中的止血效果。方法将2013年6月~2014年12月在我院就诊的40例择期行肝脏部分切除术的患者随机分为两组，实验组应用可吸收止血微球进行肝脏断面止血，对照组采用传统的纱布填塞按压止血。比较术中止血情况、止血时间及术后12h、1d、2d、3d引流情况。结果实验组手术时间和止血时间分别为(210.5±27.3)、(3.11±0.97)min，对照组手术时间和止血时间分别为(235.6±30.35)、(5.45±1.56)min，两组比较差异有统计学意义(P<0.05)。实验组术后12 h、1 d、2 d引流量为(47.32±12.57)、(89.52±23.97)、(45.43±13.11)ml，少于对照组的(55.97±15.21)、(119.67±23.11)、(57.67±14.10)ml，差异有统计学意义(P<0.05)。结论可吸收止血微球在肝脏切除术中止血效果明显，能有效缩短止血时间，减少术后引流量。
目的：觀察可吸收止血微毬在肝髒手術中的止血效果。方法將2013年6月~2014年12月在我院就診的40例擇期行肝髒部分切除術的患者隨機分為兩組，實驗組應用可吸收止血微毬進行肝髒斷麵止血，對照組採用傳統的紗佈填塞按壓止血。比較術中止血情況、止血時間及術後12h、1d、2d、3d引流情況。結果實驗組手術時間和止血時間分彆為(210.5±27.3)、(3.11±0.97)min，對照組手術時間和止血時間分彆為(235.6±30.35)、(5.45±1.56)min，兩組比較差異有統計學意義(P<0.05)。實驗組術後12 h、1 d、2 d引流量為(47.32±12.57)、(89.52±23.97)、(45.43±13.11)ml，少于對照組的(55.97±15.21)、(119.67±23.11)、(57.67±14.10)ml，差異有統計學意義(P<0.05)。結論可吸收止血微毬在肝髒切除術中止血效果明顯，能有效縮短止血時間，減少術後引流量。
목적：관찰가흡수지혈미구재간장수술중적지혈효과。방법장2013년6월~2014년12월재아원취진적40례택기행간장부분절제술적환자수궤분위량조，실험조응용가흡수지혈미구진행간장단면지혈，대조조채용전통적사포전새안압지혈。비교술중지혈정황、지혈시간급술후12h、1d、2d、3d인류정황。결과실험조수술시간화지혈시간분별위(210.5±27.3)、(3.11±0.97)min，대조조수술시간화지혈시간분별위(235.6±30.35)、(5.45±1.56)min，량조비교차이유통계학의의(P<0.05)。실험조술후12 h、1 d、2 d인류량위(47.32±12.57)、(89.52±23.97)、(45.43±13.11)ml，소우대조조적(55.97±15.21)、(119.67±23.11)、(57.67±14.10)ml，차이유통계학의의(P<0.05)。결론가흡수지혈미구재간장절제술중지혈효과명현，능유효축단지혈시간，감소술후인류량。
Objective To observe the hematischesis effect of absorbable hemostatic microspheres in liver operation. Methods 40 patients with elective liver resection from June 2013 to December 2014 of our hospital were randomly di-vided into two groups.The experimental group were used absorbable hemostatic microspheres for liver section hematis-chesis,the control group were used traditional gauze pressure to stop the bleeding.The situation of hematischesis during operation,stopping bleeding,drainage situation after operation 12 h,1 d,2 d,3 d were compared. Results The operation time and stopping bleeding was respectively (210.5±27.3)min and (3.11±0.97)min in experimental group.The operation time and stopping bleeding was respectively (235.6±30.35)min and (5.45±1.56)min in control group,the difference was statistical significance(P<0.05).The drainage volume after operation 12 h,1 d,2 d was respectively(47.32±12.57),(89.52±23.97),(45.43±13.11)ml in experimental group,less than that respectively (55.97±15.21),(119.67±23.11),(57.67±14.10)ml in control group,and the difference was statistical significance (P<0.05). Conclusion The hematischesis effect of ab-sorbable hemostatic microspheres in liver operation is obvious.It can effectively shorten the bleeding time and reduce postoperative drainage volume.
