快速止血器在模拟野战条件下头皮裂伤中的应用

Application of rapid hemostatic device in scalp laceration under simulated field conditions

目的探索快速止血器在模拟战场条件下头皮裂伤止血中的应用。方法选取解放军第九六〇医院神经外科自2019年1月至2020年10月收治的颅脑外伤开颅手术患者55例,按照随机数字表法将患者分为对照组(28例)和试验组(27例)。对照组采用传统头皮夹钳夹取单个头皮夹方式,试验组采用快速头皮止血器上夹。比较2组患者的安置头皮夹时间、开颅过程中出血量、手术时间、术中头皮夹破裂率和弹飞率、术后头皮愈合等情况。结果试验组安置头皮夹时间及手术时间较对照组明显缩短,出血量少于对照组,差异具有统计学意义(P<0.05);2组患者的术中头皮夹破裂率、弹飞率、术后头皮愈合情况差异无统计学意义(P>0.05)。结论快速头皮止血器可简化开颅操作、缩短开颅时间、减少开颅手术过程中出血量,并且不影响术后皮肤切缘恢复。

Objective To explore the application of rapid hemostatic device in scalp laceration hemostasis under simulated battlefield conditions.Methods A total of 55 patients with craniocerebral trauma admitted to Neurosurgery Department of 960th Hospital of PLA from January 2019 to October 2020 were selected and randomly divided into 2 groups by random number assignment method:control group(n=28)and treatment group(n=27).The control group were treated with traditional scalp clamps to clamp a single scalp clip,while the treatment group were treated with a fast scalp hemostatic device to clamp.The time of craniotomy,the amount of blood loss during craniotomy,the time of operation,the rate of rupture or bouncing of the skull clip during operation,and the postoperative scalp healing were compared between the two groups.Results The time of scalp clip placement and operation in the experimental group was significantly shorter than that in the control group,and the amount of bleeding was less than that in the control group,with statistical significance(P<0.05).There was no statistically significant difference in the rate of rupture and bouncing of the skull clip during operation,and the postoperative scalp healing between the two groups(P>0.05).Conclusion The rapid scalp hemostatic device can simplify craniotomy operation,shorten craniotomy time,reduce the amount of bleeding during craniotomy,and do not affect the recovery of postoperative skin incision margin.