| 刺五加生脉注射液对提高超薄超长带蒂皮瓣成活的临床研究 |
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投稿时间：2004-07-22
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| 期刊信息：《中国骨伤》2004年，第17卷，第11期，第668-670页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:辽宁省卫生厅科研计划课题(编号:9512) |
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中文摘要:
目的:探讨中药刺五加生脉注射液提高超薄超长带蒂皮瓣成活的临床应用。
方法:对1995年3月～2003年5月收治的50例行超薄超长随意带蒂皮瓣手术的病例随机分成实验组和对照组。实验组30例,在手术后行刺五加生脉注射。观察两组皮瓣的成活率、皮瓣长宽比例增加的安全范围和皮瓣断蒂时间,并进行统计学处理。
结果:①实验组皮瓣100%成活率占97%,90%成活率占3%,对照组皮瓣100%成活率占15%。②皮瓣长:宽,实验组1～15∶1为5例,2～25∶1为11例,3～35∶1为8例,4～4.5∶1为3例,5～6∶1为3例;对照组1～1.5∶1为13例,2～2.5∶1为6例,3～3.5∶1为1例。③实验组的断蒂时间在7～14d,对照组为3周(传统断蒂时间)。
结论:中药刺五加生脉注射液能够提高皮瓣成活率,可安全增加皮瓣的长宽比例,但以<4∶1为安全,缩短皮瓣的断蒂时间是可行的,实验组中无明显毒副作用和不良反应。 |
| 【关键词】中成药 外科皮瓣 成活率 |
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| Clinical application of the Ciwujia Shengmai injection for increasing survive rate of the thiner and longer pedicle randomized flap transfer |
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ABSTRACT
Objective:To investigate clinical application of the thiner and longer pedicle randomized flap transfer.
Methods:Fifty patients were divided randomly into experimental and control group.Thirty patients of the experimental group were injected with Ciwujia Shengmai after operation.The survive rate of pedicle randomized flap,the safe range of increasing rate of length and width and the times of severing flap wre observed.The clinical data were analyzed with statistically.
Results:① In the experimental group,100% survive rate was 97% and 90% survive rate was 3%.In the control group,100% survive rate was 15%.② The rate of length and width in the experimental group was five patients of 1～1.5∶1,eleven patients of 2～2.5∶1, eight patients of 3～3.5∶1,three patients of 4～4.5∶1,three patients of 5～6∶1.And the control group was thirteen patients of 1～1.5∶1,six patients of 2～2.5∶1,one patient of 3～3.5∶1.③ The times of severing flap for the experimental group was from seven to fourteen days,the control group was three weeks (equal to the traditiond time).
Conclusion:Ciwujia Shengmai injection can improve the survive rate of pedicle randomized flap,increase the rate of length and width (the safe confine is less than 4∶1),shorten the severing flap time. |
| KEY WORDS Chinese patent drugs Surgical flaps Survive rate |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 彭丽君,王旭,朱金星,周晓勇,尹国勇,于培俊.刺五加生脉注射液对提高超薄超长带蒂皮瓣成活的临床研究[J].中国骨伤,2004,17(11):668~670 |
| 英文格式: | PENG Li-jun,WANG Xu,ZHU Jin-xing,ZHOU Xiao-yong,YIN Guo-yong,YU Pei-jun.Clinical application of the Ciwujia Shengmai injection for increasing survive rate of the thiner and longer pedicle randomized flap transfer[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(11):668~670 |
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