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尖吻蝮蛇血凝酶在老年患者骨科手术中安全性评价

兰晓倩 马凌悦 路敏 赵侠 高菲菲 周颖 崔一民

中国临床药理学杂志Issue(3):273-275,285,4.
中国临床药理学杂志Issue(3):273-275,285,4.DOI:10.13699/j.cnki.1001-6821.2016.03.025

尖吻蝮蛇血凝酶在老年患者骨科手术中安全性评价

Safety of hemocoagulase agkistrodon on the hemostasis in patients undergoing orthopaedic surgery

兰晓倩 1马凌悦 2路敏 1赵侠 1高菲菲 1周颖 2崔一民1

作者信息

  • 1. 北京大学 第一医院 药剂科,北京 100034
  • 2. 北京大学 医学部 药学院 药事管理与临床药学系,北京 100191
  • 折叠

摘要

Abstract

Objective To evaluate the safety of hemocoagulage agkistro-don(HCA) in orthopaedic surgical patients .Methods A total of 200 hospitalized patients undergoing orthopaedic surgery in our hospital were assigned to two groups: the trial group ( 100 cases: adult group 56 and senile group 44 ) and the control group ( 100 cases: adult group 56 and senile group 44 ).The patients in the trial group were administered with HCA during or just before the surgery.The patients in the control group didn′t use any hemostatic.Then, the blood routine test , coagulation function ,hepatic and renal function within 6 days before the surgery and within 3 days after surgery were compared by ANOVA for repeated mea-surement.Results There was statistically significant difference on time effect in all indicators except for total bilirubin ( TBIL ).There was no statistically significant difference of group effect in all indicators except for total protein ( TP ) and albumin ( ALB ).And there was statistically significant difference on age effect in red blood cell (RBC), hemoglobin (Hb), platelet(PLT), TP, ALB, creatinine(Cr),UREA and prothrom-bin time ( PT).No interaction effect was found in time & group , time &age & group.Conclusion Using HCA during or just before the ortho-paedic surgery shows no significant influence on the blood routine test , liver function , renal function and coagulation function.The application of HCA during or just before the orthopaedic surgery is safe , and there is no significant difference between the adult group and the senile group in drug safety of HCA.

关键词

尖吻蝮蛇血凝酶/安全性/老年患者/骨科手术

Key words

hemocoagulase agkistrodon/safety/senile patients/orthopaedic surgery

分类

医药卫生

引用本文复制引用

兰晓倩,马凌悦,路敏,赵侠,高菲菲,周颖,崔一民..尖吻蝮蛇血凝酶在老年患者骨科手术中安全性评价[J].中国临床药理学杂志,2016,(3):273-275,285,4.

中国临床药理学杂志

OA北大核心CSCDCSTPCD

1001-6821

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