罂粟碱联合低分子右旋糖酐预防断指再植术后血管危象的效果分析

罂粟碱联合低分子右旋糖酐预防断指再植术后血管危象的效果分析
作者：谢飞
来源：《中外医疗》2019年第03期

        [摘要] 目的 探讨罂粟碱联合低分子右旋糖酐对接受断指再植术的患者的疗效。方法 方便选取2016年1月—2018年1月在该院接受断指再植术的100例患者随机分为试验组和对照组：试验组50例，给予罂粟碱联合低分子右旋糖酐治疗；对照组50例，给予罂粟碱治疗。比较两组患者术后血管危象发生率、断指成活率和血浆内皮素。 结果 试验组术后72 h内血管危象发生率、术后72 h和术后1周血浆内皮素水平显著低于对照组12% vs 28%（χ2=4.00，P

        [關键词] 断指再植术；罂粟碱；低分子右旋糖酐；血管危象

        [中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2019）01（c）-0123-03

        Effect of Papaverine Combined with Low Molecular Weight Dextran on Preventing Vascular Crisis after Replantation of Severed Fingers

        XIE Fei

        Department of Orthopaedics， Fuzhou Second Hospital， 13th District Hand and Foot Microsurgery， Fuzhou， Fujian Province， 350007 China

        [Abstract] Objective To observe the efficacy of papaverine combined with low molecular weight dextran in patients undergoing replantation of severed fingers. Methods 100 patients who underwent replantation of severed fingers in our hospital from January 2016 to January 2018 were conveniently selected and randomly divided into the experimental group and the control group： 50 patients in the experimental group were treated with papaverine combined with low molecular weight dextran； 50 patients in the control group with the treatment with papaverine. The incidence of postoperative vascular crisis， survival rate of severed fingers and plasma endothelin were compared between the two groups. Results The incidence of vascular crisis， 72 h postoperatively and 1 week postoperatively was significantly lower in the experimental group than in the control group 12% vs 28%（χ2=4.00，P

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