CAJ | 학술논문

目的：探索减少腺样体切除术出血的方法。方法对206例行腺样体切除术的患者术中出血情况进行分析，使用3%过氧化氢棉球压迫止血者为观察组，使用生理盐水棉球压迫止血者为对照组。评价两组术中、术后出血情况。结果观察组止血有效率91.67%，对照组止血有效率81.40%，两组间差异有统计学意义（χ2=4.79，P<0.05）；观察组术中出血量（35.76±8.70） mL，对照组术中出血量（43.35±12.86）mL，两组间差异有统计学意义（P<0.05）；观察组术后出血率0.83%，对照组术后出血率1.16%，两组间差异无统计学意义（P＞0.05）。结论腺样体切除术中使用3%过氧化氢棉球压迫止血，可以明显减少腺样体手术中出血。
목적：탐색감소선양체절제술출혈적방법。방법대206례행선양체절제술적환자술중출혈정황진행분석，사용3%과양화경면구압박지혈자위관찰조，사용생리염수면구압박지혈자위대조조。평개량조술중、술후출혈정황。결과관찰조지혈유효솔91.67%，대조조지혈유효솔81.40%，량조간차이유통계학의의（χ2=4.79，P<0.05）；관찰조술중출혈량（35.76±8.70） mL，대조조술중출혈량（43.35±12.86）mL，량조간차이유통계학의의（P<0.05）；관찰조술후출혈솔0.83%，대조조술후출혈솔1.16%，량조간차이무통계학의의（P＞0.05）。결론선양체절제술중사용3%과양화경면구압박지혈，가이명현감소선양체수술중출혈。
Objective To explore the method for reducing the hemorrhage in adenoidectomy. Methods The bleeding status in ade-noidectomy of 206 cases was analyzed. Patients used 3% hydrogen peroxide cotton ball for hemostasis were set as the observation group, and patients used saline cotton ball for hemostasis were set as the control group. And the intraoperative and postoperative bleeding of the two groups was evaluated. Results The hemostatic efficiency of the observation group was 91.67%, and that of the control group was 81.40%, the difference between the groups was statistically significant(χ2=4.79,P<0.05);the intraoperatve blood loss of the observation group was (35.76±8.70)ml, and that of the control group was (43.35±12.86)ml, the difference between the two groups was statistically significant (P<0.05); the postoperative bleeding rate of the observation group was 0.83%, and that of the control group was 1.16%, the difference between the two groups was not statistically significant(P>0.05). Conclusion 3% hydrogen peroxide cotton ball applied in adenoidectomy for compression hemostasis, can significantly reduce the intraoperative blood loss in adenoidectomy.