中成药2017，Vol.39Issue(5)：916-921,6.DOI:10.3969/j.issn.1001-1528.2017.05.007
伤科黄水预防断指再植术后血管危象的临床观察
Clinical observation of Shangke Huangshui Gauze on preventing vascular crisis after digital replantation
潘海文 1王朝辉 2李卓伟 1赵崇智 1黎清斌 1黄振宇2
作者信息
- 1. 广州中医药大学附属佛山中医院骨科,广东佛山528000
- 2. 广州中医药大学研究生院,广东广州510000
- 折叠
摘要
Abstract
AIM To investigate the preventive effects of Shangke Huangshui Gauze (Scutellariae Radix,Coptidis Rhizoma,Phellodendri chinensis Cortex,etc.) on vascular crisis after digital replantation.METHODS Sixty-eight cases of patients with amputated digits meeting the inclusion criteria were randomly divided into observation group (36 cases with 57 fingers) and control group (32 cases with 54 fingers),the former was wet-dressed with Shangke Huangshui Gauze,the latter was bandaged with sterile dry gauze.The observation and comparison were made between the two groups on four coagulation indexes,visual analog scores (VAS),improvement of swelling degrees,the occurrence rates and survival rates of vascular crisis after operation,together with the evaluation of efficacy and adverse reaction.RESULTS In the observation group,the 7th day after operation,the prothrombin time,activated partial thromboplastin time,international normalized ratio,thrombin time and swelling improvement rate were higher than those in the control group;but the fibrinogen and postoperative 4 days' VAS pain score were lower than those in the control group.The incidence rates of vascular crisis and adverse reaction in the observation group were lower than those in the control group,and the survival rate of replanted fingers was higher than that in the control group.CONCLUSION Shangke Huangshui Gauze can prevent the occurrence of vascular crisis after digital replantation to a certain extent without obvious adverse reaction.关键词
伤科黄水/断指再植/术后/血管危象/预防Key words
Shangke Huangshui Gauze/digital replantation/postoperative/vascular crisis/prevention分类
医药卫生引用本文复制引用
潘海文,王朝辉,李卓伟,赵崇智,黎清斌,黄振宇..伤科黄水预防断指再植术后血管危象的临床观察[J].中成药,2017,39(5):916-921,6.
