伤科黄水预防断指再植术后血管危象的临床观察

发布时间：2018-08-06 20:27

【摘要】：目的探讨伤科黄水(黄芩、黄连、黄柏等)对断指再植术后血管危象的预防作用。方法将68例符合纳入标准的断指患者随机分为观察组(36例,57指)与对照组(32例,54指),观察组给予伤科黄水湿敷;对照组用无菌干纱布包扎。观察对比2组术后凝血四项指标、视觉模拟评分(VAS)、肿胀改善程度、血管危象发生率和成活率,并评定疗效以及不良反应。结果观察组术后7 d凝血酶原时间、部分活化凝血活酶时间、国际标准化比值、凝血酶时间以及肿胀改善率均高于对照组,而纤维蛋白原和术后4 d VAS疼痛评分则低于对照组;观察组血管危象、不良反应发生率均低于对照组,而再植指体成活率则高于对照组。结论伤科黄水能在一定程度上预防断指再植术后血管危象的发生,且无明显不良反应。
[Abstract]:Objective to investigate the preventive effect of Huangshui (Scutellaria baicalensis, Coptis chinensis, Cortex Phellodendri) on vascular crisis after replantation of severed fingers. Methods Sixty-eight patients with amputation were randomly divided into observation group (36 cases, 57 fingers) and control group (32 cases, 54 fingers). The four indexes of coagulation, the degree of (VAS), swelling improvement, the incidence and survival rate of vascular crisis, the curative effect and adverse reaction were observed and compared between the two groups. Results the prothrombin time, partial activated thromboplastin time, international standardized ratio, thrombin time and swelling improvement rate in the observation group were higher than those in the control group, while fibrinogen and VAS pain score at 4 days after operation were lower in the observation group than in the control group. The incidence of adverse reactions in the observation group was lower than that in the control group, while the survival rate of the replanted finger body was higher than that of the control group. Conclusion Huangshui can prevent the occurrence of vascular crisis after replantation of severed fingers to some extent, and there is no obvious adverse reaction.
【作者单位】：广州中医药大学附属佛山中医院骨科;广州中医药大学研究生院;
【分类号】：R269

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