摘要
在１９９０至１９９２年完成的４１５例５９４个再植指中，将一组常温下缺血超过１０小时以上，同时冷贮存达１０小时以上的６１例１００个再植指进行实验。选用计数资料的序贯双向检验分析原则，采用Ａ、Ｂ、Ｃ不同方法给药。Ａ法为地塞米松加肝素；Ｂ法为单纯肝素，Ｃ法为过去常规方法。结果示Ａ法能明显提高再植指成活率，Ａ、Ｂ法两者间有显著性差异；Ａ法能明显降低不再流现象和顽固性痉挛的出现率，Ａ与Ｂ法之间差异有显著性。另外Ａ法给药能改善过长缺血时限时再植指的血流瘀滞状态。本文还讨论了激素抗缺血再灌注损伤的机理。
AbstractTo improve the survival rate and prevent“№-reflow” of the“delayed-time” digital re-plantation,100 digits of long ischemia timeamong 594 severed digits were perfused withdrugs,using one of three methods: Group A DXM and heparine:Group B only heparene:Group C normal of usual way.The experi-mental result was dealed with sequential designand analysis of enumerationion data,and decriaseof“№-reflow” rate for Group A. On the otherhand, Group A can red uce of prevent silt ofmicrocitculation.
出处
《中华显微外科杂志》
CSCD
北大核心
1994年第1期40-43,共4页
Chinese Journal of Microsurgery
