中国康复理论与实践2024，Vol.30Issue(5)：560-564,5.DOI:10.3969/j.issn.1006-9771.2024.05.009
止血带在下肢坏疽截肢术中的应用
Application of tourniquet in amputation for lower limb gangrene
摘要
Abstract
Objective To explore the efficacy and safety of using a tourniquet in amputation for lower limb gangrene. Methods All patients underwent amputation for lower limb gangrene from January,2009 to June,2023 in Beijing Bo'ai Hospital were reviewed,involving 41 patients with a total of 44 limbs,and they were divided into non-tourniquet group(n=28)and tourniquet group(n=16)according to whether a tourniquet was used during surgery.The am-putation field clearness,surgical bleeding,incision healing,reoperation rate within 30 days post-operation,intra-operative blood pressure and heart rate,and operation time were compared. Results The amputation field was clearer in the tourniquet group(χ2=42.385,P＜0.001),with less bleeding(Z=-2.082,P＜0.05).No tourniquet-related local damages,such as nerve damage and skin injuries,was observed in the limbs using tourniquets.The incidence of grade A of incision healing was not significantly different(χ2=0.028,P=0.624). Conclusion Application of tourniquet can improve the amputation field clearness and reduce bleeding during amputation for lower limb gangrene,without affecting incision healing.关键词
下肢坏疽/截肢/止血带Key words
lower limb gangrene/amputation/tourniquet分类
医药卫生引用本文复制引用
田罡,张皓媛,宋佳佳,唐鹏,闵红巍,顾蕊,刘克敏..止血带在下肢坏疽截肢术中的应用[J].中国康复理论与实践,2024,30(5):560-564,5.基金项目
中国康复研究中心科研基金项目(No.2023ZX-13) Supported by China Rehabilitation Research Center Research Fund(No.2023ZX-13) （No.2023ZX-13）
