全溶性止血纤维的动物试验及临床应用研究

目的：研究全溶性止血纤维（FHF）的止血效果。方法：30只家兔，制作不同的损伤创面以及动静脉损伤模型，应用不同材料进行止血，比较止血时间和出血量，观察不同材料肝素化前后的止血效果；214例外科手术患者随机分两组，107例为实验组应用FHF，对照组分为明胶海绵组和凡士林油纱组，比较止血时间和止血效果。结果：FHF优于明胶海绵的止血效果（P〈0．05）；动物肝素化前后FHF止血效果无明显差异，但与明胶海绵组相比有显著差异（P〈0．05）；临床实验结果可见，FHF在止血时间上明显短于对照组。止血效果与对照组比较有明显差别（P〈0．05）。结论：全溶性止血纤维止血安全、效果可靠。

Study of animal trial and clinical use on fully soluble hemostatic fibre

AIM: To investigate the hemostatic effect of fully hemostatic fibre(FHF).METHODS: In the animal experiment,30 rabbits were treated to produce different models of trauma surface and artery and vein trauma.Different materials were used to stop bleeding,in order to compare the hemostasis time and the bleeding volume and observe the difference of hemostatic effect for different materials between before and after the treatment with heparin.A prospective study was designed.Two hundred and fourteen patients admitted in our department due to surgery were divided randomly into test group and control group.FHF was used in test group and Glutin Spong and vaseline oil gauze in the control groups for hemostasis with a view to comparing their hemostasis time and effect.RESULTS: It was suggested that the hemostatic effect of FHF had no significant difference with the Surgicel group.FHF and Surgicel groups appeared significant difference with the Glutin Sponge(P<(0.05)).No significant difference by using FHF was observed between before and after the treatment with heparin,but significant difference(P<(0.05)) was found in the Glutin Sponge.The results of clinical test suggested that the hemostatic time of FHF was shorter than that of control group.CONCLUSION: The results of animal experiment and clinical test demonstrated that the hemostatic effects of FHF were not only believable,but also safety and convenience.