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注射用血凝酶在经尿道前列腺电切术中止血效果分析 被引量:1

Analysis of the hemostatic effect of the injection of blood clotting enzyme in transurethral resection of the prostate
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摘要 目的:比较注射用血凝酶不同用法在经尿道前列腺电切术中的止血效果。方法:87例行经尿道前列腺电切术的前列腺良性增生(BPH)患者,随机分为联合用药组、全身用药组、局部用药组,全身组在术前、术毕分别静脉及肌肉注射血凝酶;局部组术后血凝酶溶液冲洗;联合组兼用以上两种方法。分析比较3组术中、术后及总出血量、冲洗时间及凝血功能指标,对比3种给药方式疗效差异并确定其临床安全性。结果:联合用药及全身用药组术中出血明显低于局部组(P>0.05);术后出血联合组明显低于全身组、局部组(P>0.05);3组相关凝血指标无明显差异(P>0.05)。结论:注射用血凝酶应用于经尿道前列腺电切术止血效果确切,安全性好,联合用药疗效最佳,可在围术期推广使用。 Objective: To compare the hemostatic effect of the different usage of the blood coagulation enzyme in transurethral resection of the prostate. Methods: 87 cases with transurethral resection operation of benign prostatic hyperplasia(BPH) patients were randomly divided into combined treatment group, systemic administration group and local medication group, systemic group in the preoperative and postoperative were intravenous and intramuscular injection of blood coagulation enzyme; local group of postoperative blood coagulation enzyme solution washing; concurrently in the combined group above two method. Analysis and comparison of 3 groups of patients, postoperative and total blood loss, flushing time and blood coagulation function index, compared with 3 kinds of drug efficacy differences and determine their clinical safety. Results: Bleeding was significantly lower than that of local group in combination therapy and systemic treatment group, and the combined group was significantly lower than that in the whole body and local groups. There was no significant difference between the 3 groups. Conclusion: the use of blood coagulation in the treatment of transurethral resection of the prostate is effective, safe and effective, and can be used in perioperative period.
作者 汪开保
出处 《中医药临床杂志》 2015年第7期990-991,共2页 Clinical Journal of Traditional Chinese Medicine
关键词 前列腺电切术 注射用血凝酶 止血 prostate resection,injection with blood clotting enzyme,hemostasis
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参考文献3

  • 1Antti Rannikko,Anssi Pétas,Kimmo Taari.Tranexamic acid in control of primary hemorrhage during transurethral prostatectomy[J]. Urology . 2004 (5)
  • 2PRODROMOS G. BORBOROGLU,CHRISTOPHER J. KANE,JOHN F. WARD,JAMES L. ROBERTS,JOHN P. SANDS.IMMEDIATE AND POSTOPERATIVE COMPLICATIONS OF TRANSURETHRAL PROSTATECTOMY IN THE 1990s[J]. The Journal of Urology . 1999 (4)
  • 3Tang Jie,Lv Faqin,Li Wenxiu,Zhang Huiqin,Luo Yukun,An Lichun,Li Tanshi.Contrast-enhanced sonographic guidance for local injection of a hemostatic agent for management of blunt hepatic hemorrhage: a canine study. AJR. American journal of roentgenology . 2008

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