Omeroğlu H, Uçaner A, Tabak A Y, Güney O, Biçimoğlu A, Günel U
Third Department of Orthopedics and Traumatology, Ankara Numune Hospital, Turkey.
Int Orthop. 1998;22(6):369-73. doi: 10.1007/s002640050280.
We have analysed the relationship between the intensity of postoperative pain and the use of a pneumatic tourniquet in procedures for operative fixation of fractures of the forearm. Thirty-two patients were divided randomly into two groups as a control (NT) and tourniquet (T). The pain scores in the NT group were significantly lower. Patients over the age of 30 had notably more pain than those younger after the use of a tourniquet. Avoidance of the tourniquet gave better postoperative analgesia in male patients and in those with comminuted fractures. When a tourniquet was used the best results were obtained if it was kept inflated for less than one hour.
我们分析了在前臂骨折手术固定过程中术后疼痛强度与使用气动止血带之间的关系。32例患者被随机分为两组，即对照组（NT）和止血带组（T）。NT组的疼痛评分显著更低。30岁以上的患者在使用止血带后比年轻患者明显更疼痛。避免使用止血带在男性患者和粉碎性骨折患者中能带来更好的术后镇痛效果。当使用止血带时，如果充气时间少于1小时可获得最佳效果。
