上肢手术中使用肢体阻断压评估气压止血技术
Assessment of the Pneumatic Ischemia Technique Using the Limb Occlusion Pressure During Upper Limb Surgery.
作者信息
Sáenz-Jalón María, Ballesteros-Sanz María Ángeles, Sarabia-Cobo Carmen María, Roscales-Bartolomé Elena, Fernández Marta Santiago, Canal-Cobo Gema, Higuero-Piris Carmen, Vélez-Carrera Begoña, Sanjuan Gema V, García-Cobo Sandra, Torres-Manrique Blanca, Miguel Martín María Eugenia
出版信息
J Perianesth Nurs. 2018 Oct;33(5):699-707. doi: 10.1016/j.jopan.2016.08.017. Epub 2017 Oct 4.
PURPOSE
The purpose of our study was to evaluate effective ischemia and its associated complications using the limb occlusion pressure technique versus standard pneumatic ischemia technique.
DESIGN
Single-centered randomized, controlled clinical trial.
METHODS
One hundred sixty participants were randomized into two equal and parallel groups: (1) intervention group-LOP technique, and (2) control group-standard pneumatic ischemia technique.
FINDINGS
Anesthetic incidences (need to administer analgesics for pain and/or hypnotics for anxiety) were similar in both groups. Statistically significant differences were observed for pain, hyperemia, and hospitalization, with higher values in the control group. Patients in the intervention group had, at 95% confidence, a 2.9 times greater chance of having optimal ischemia (assessed as 9 on the analog scale) than patients in the control group (odds ratio, 2.9; 95% confidence interval, 1.4 to 6.1).
CONCLUSIONS
Intervention group patients had lower indexes of hyperemia, pain, and hospital stay.
目的
本研究的目的是使用肢体阻断压力技术与标准气压性缺血技术来评估有效缺血及其相关并发症。
设计
单中心随机对照临床试验。
方法
160名参与者被随机分为两个相等的平行组：（1）干预组——肢体阻断压力技术组，以及（2）对照组——标准气压性缺血技术组。
结果
两组的麻醉发生率（因疼痛需要使用镇痛药和/或因焦虑需要使用催眠药）相似。在疼痛、充血和住院方面观察到了统计学上的显著差异，对照组的值更高。干预组患者在95%置信度下达到最佳缺血（在视觉模拟量表上评分为9）的可能性是对照组患者的2.9倍（优势比，2.9；95%置信区间，1.4至6.1）。
结论
干预组患者的充血、疼痛和住院指标较低。
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