电动止血带机不同压力值对患者关节镜下前交叉韧带重建术中的影响

The Influence of Anterior Cruciate Ligament Reconstruction Patients in Arthroscopy by Different Pressure Value of Electric Hemostatic Machine

目的：探讨电动止血带机不同压力值对患者关节镜下前交叉韧带（ACL）重建术中的影响情况。方法：选取2012年8月-2014年8月笔者所在医院骨外科收治的前交叉韧带损伤患者177例，依据电动止血带机不同压力值进行分组，对照组77例，充气压力值为600 mm Hg和观察组100例，充气压力值为300~400 mm Hg。结果：观察组前交叉韧带损伤患者手术时间低于对照组，观察组前交叉韧带损伤患者应用止血带后1、1.5 h烦躁程度均优于对照组，差异有统计学意义（P〈0.05），两组前交叉韧带损伤患者手术时止血优良率比较差异无统计学意义（P〉0.05）。结论：电动止血带机压力为300~400 mm Hg可以提高手术治疗效率，降低烦躁发生率，值得临床推广应用。

Objective：To explore the influence of ACL reconstruction patients in arthroscopy by different pressure value of electric hemostatic machine. Method：177 cases anterior cruciate ligament injury patients in our hospital from August 2012 to August 2014 were selected,they were divided into two groups according the pressure value,the control group 77 cases with pressure value 600 mm Hg and the observation group 100 cases with pressure value 300-400 mm Hg. Result：The operation time of anterior cruciate ligament injury patients in the observation group was lower than that in the control group,the degree of anxiety of anterior cruciate ligament injury patients in the observation group was better than that in the control group after using tourniquet 1 h and 1.5 h,the differences were statistical significance（P〈0.05）.The rate of good hemostatic of anterior cruciate ligament injury patients in two groups were no difference,the difference were no statistical significance（P〉0.05）.Conclusion：The electric hemostatic machine with pressure value 300-400 mm Hg can improve surgical treatment efficiency, decrease the incidence of anxiety,increase the hemostatic effect,which is worth popularizing.