摘要
目的对体表鱼钩取出方法——“夹平法”的可行性及安全性进行基础性探讨。方法对市面上常见的不同种类的鱼钩进行随机分组后使用不同类型持针器分别进行鱼钩倒刺夹平实验,观察鱼钩倒刺的变形程度,将变形程度分为夹平、未夹平和夹碎三个等次。结果使用6种持针器共钳夹不同种类鱼钩倒刺420个,其中16 cm细针型持针器对鱼钩倒刺的夹平率最高(94.28%),14 cm粗针型持针器对鱼钩倒刺的夹平率最低(67.14%);18 cm粗针型持针器对鱼钩倒刺的夹碎率最高(24.28%),16 cm细针型持针器对鱼钩倒刺的夹碎率最低(2.86%);组间比较差异均具有统计学意义(P<0.05)。结论夹平法取钩术在鱼钩致伤中预期具有较好应用价值;不同大小、类型的持针器对鱼钩倒刺的夹平效果各异,16 cm细针型持针器的夹平效果最好,夹碎率最低,值得临床推荐使用。
Objective To explore the feasibility and safety of the“clamping method”for extracting fish hooks from the body surface.Methods Different types of fish hooks commonly used in the market were randomly grouped,and various types of needle holders were used to conduct experiments on clipping the hook barbs.The degree of barb deformation was observed and categorized into three levels:clamping flat,clamping unflat,and clamping broken.Results A total of 420 barbs from different types of fish hooks were clamped using six types of needle holders.The 16 cm thin needle holder demonstrated the highest clamping flat rate(94.28%),while the 14 cm thick needle holder exhibited the lowest clamping flat rate(67.14%).The 18 cm thick needle holder had the highest clamping broken rate of fish barbs(24.28%),whereas the 16 cm thin needle holder showed the lowest clamping broken rate(2.86%).Statistically significant differences were observed among the groups(P<0.05).Conclusion The clamping method for hook extraction shows promise in treating fish hook injuries.Different sizes and types of needle holders have varying effects on clamping fish barbs.The 16 cm thin needle holder provides optimal clamping and minimal crushing,making it a suitable choice for clinical applications.
作者
林起庆
任婕
黄春暧
袁梓萌
Lin Qiqing;Ren Jie;Huang Chunai;Yuan Zimeng(Department of Emergency,The Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;Graduate School,Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)
出处
《右江民族医学院学报》
2023年第3期482-485,共4页
Journal of Youjiang Medical University for Nationalities
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20211435)。
关键词
夹平法取钩术
鱼钩致伤
应用研究
clamping hook extraction
fish hook injury
application study