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可注射用合成水凝胶在手术患者伤口的应用与护理探讨 被引量:1

Discussion on the application and nursing of injectable synthetic hydrogels in surgical patients
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摘要 为探究可注射水凝胶在肝移植手术患者创面应用的效果,采用随机分配的原则将患者分为A、B、C组,A组注射可注射水凝胶,B组注射0.9%氯化钠注射液,C组注射纤维蛋白胶,观察患者的出血量和出血时间、7 d后的血常规、体质量及凝血等指标。结果表明,采用的可注射水凝胶组的平均出血时间是(34.8±1.30)s,显著缩短(P<0.01);术后7 d的血常规、体质量及凝血等指标基本一致,只有在PLT、HCT二项指标上的差异显著,其中可注射水凝胶组的PLT水平最高;在腹腔内粘连程度方面,各组间无统计学意义(P>0.05)。采用可注射水凝胶的止血效果大致等同于纤维蛋白胶,但出血时间和出血量优势明显。 In order to explore the effect of injectable hydrogel on the wound surface of patients undergoing liver transplantation,the patients were randomly divided into group A,group B and group C.Group A was injected with injectable hydrogel,group B was injected with 0.9%sodium chloride injection,and group C was injected with fibrin glue.The amount and time of bleeding,blood routine test,body mass,blood coagulation and other indicators after 7 days were observed.The results showed that the average bleeding time of the injectable hydrogel group was(34.8±1.30)s,which was significantly shortened(P<0.01).The blood routine test,body mass and blood coagulation were basically the same 7 days after operation,but there were significant differences in PLT and HCT,and the PLT level in the injectable hydrogel group was the highest.There was no significant difference in the degree of intra-abdominal adhesion between the groups(P>0.05).The hemostatic effect of injectable hydrogel was roughly equivalent to that of fibrin gel,but the bleeding time and amount of bleeding were significantly advantageous.
作者 饶敏 罗丽坤 李鹂 RAO Min;LUO Likun;LI Li(First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,China)
出处 《粘接》 CAS 2023年第12期147-150,共4页 Adhesion
关键词 水凝胶 止血剂 纤维蛋白胶 聚乙二醇 肝移植 hydrogel hemostatic agent fibrin glue polyethylene glycol liver transplantation
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