幼儿腺样体手术中的局部止血剂；一项前瞻性随机对照试验。
Topical blood stopper agents during adenoid surgery in young children; a prospective randomized controlled trial.
作者信息
Abdallah Randa A, Ragab Sameh M, Hassanin Maher Z
机构信息
AL Azhar University Hospitals, Cairo, Egypt.
Taiba Hospital, Bayan, Kuwait.
出版信息
Eur Arch Otorhinolaryngol. 2018 May;275(5):1157-1163. doi: 10.1007/s00405-018-4929-0. Epub 2018 Mar 10.
OBJECTIVE
To investigate the safety and efficacy of two topical blood stopper modulators; Ankaferd blood stopper (ABS) and feracrylum 1% solution (FS) during adenoid surgery.
STUDY DESIGN
Prospective randomized trial.
METHODS
Two hundred and twenty five consecutive pediatric adenoid patients aged from 9 months to 2 years old were studied. Patients were randomly allocated into two haemostatic groups; (ABS, FS) and normal saline (control group).
RESULTS
ABS and FS groups showed a significantly less intra operative blood loss (16.4 ± 2.6/22 ± 6.2), operative time (9.31 ± 1.9/11.2 ± 1.6 min), use of cautery (10.6/25.3%), postoperative analgesics (3 ± 1.1/3.8 ± 1.2), duration to return normal diet (2.4 ± 1.2/3.9 ± 0.9) and operating theatre cost (233 ± 48$ and 279 ± 40$) than the control group.
CONCLUSION
AFS and FS are easy, safe, and reliable topical haemostatic modulators that could be used in adenoid surgery.
目的
研究两种局部止血调节剂安卡福得止血剂（ABS）和1%氰基丙烯酸正丁酯溶液（FS）在腺样体手术中的安全性和有效性。
研究设计
前瞻性随机试验。
方法
对225例年龄在9个月至2岁的连续性小儿腺样体患者进行研究。患者被随机分为两个止血组，即ABS组、FS组和生理盐水组（对照组）。
结果
与对照组相比，ABS组和FS组术中失血量（16.4±2.6/22±6.2）、手术时间（9.31±1.9/11.2±1.6分钟）、烧灼止血的使用（10.6/25.3%）、术后镇痛药的使用（3±1.1/3.8±1.2）、恢复正常饮食的时间（2.4±1.2/3.9±0.9）以及手术室费用（233±48美元和279±40美元）均显著减少。
结论
AFS和FS是简便、安全且可靠的局部止血调节剂，可用于腺样体手术。
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