[1]刘辉,冯占营,刘兆青,等.酚妥拉明微量泵入在游离皮瓣移植中的应用[J].实用手外科杂志,2024,38(01):0.[doi:10.3969/j.issn.1671-2722.2024.01.002]
 LIU Hui,FENG Zhanying,LIU Zhaoqing,et al.Application of phentolamine micro pumping in free skin flap transplantion[J].Journal of Practical Hand Surgery,2024,38(01):0.[doi:10.3969/j.issn.1671-2722.2024.01.002]
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酚妥拉明微量泵入在游离皮瓣移植中的应用
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《实用手外科杂志》[ISSN:1671-2722/CN:10-1336/R]

卷:
38
期数:
2024年01期
页码:
0
栏目:
出版日期:
2024-03-20

文章信息/Info

Title:
Application of phentolamine micro pumping in free skin flap transplantion
作者:
刘辉12 冯占营2 刘兆青2 王国杰2 王亚峰2 高俊可2
(1.河南省中医院(河南中医药大学第二附属医院) 创伤外科, 河南 巩义 450053; 2.巩义市人民医院 手足外科, 河南 巩义 451299)
Author(s):
LIU Hui FENG Zhanying LIU Zhaoqing et al (Department of Trauma Surgery Henan Provincial Hospital of Traditional Chinese Medicine Gongyi Henan 450053 China)
关键词:
关键词: 酚妥拉明 游离皮瓣 临床疗效
DOI:
10.3969/j.issn.1671-2722.2024.01.002
摘要:
摘 要:目的 游离皮瓣移植术后分别应用罂粟碱和酚妥拉明预防血管痉挛,探讨微量泵入酚妥拉明在皮瓣移植中的作用。方法 2021年8月-2023年3月巩义市人民医院手足外科收治创面缺损且进行游离皮瓣移植术患者66例,随机分为观察组32例、对照组34例,术后在抗感染、抗凝基础上观察组采用酚妥拉明治疗,对照组采用罂粟碱,连续应用1周;术后均进行常规护理,保暖、患肢制动抬高、禁烟。记录术后即刻、术后第1天、3天、7天皮瓣是否成活、是否发生血管危象、皮瓣血管充盈时间、激光多普勒血流图以及是否发生不良事件。结果 观察组32例、对照组34例皮瓣均成活,血管充盈时间在术后第1天、3天、7天差异均无统计学意义(P >0.05);两组不良反应发生率在术后第1天差异无统计学意义(P >0.05),在术后第3天(P <0.05)、第7天(P <0.05)差异有统计学意义;两组多普勒血流图比较,组内比较P <0.05、组间比较P >0.05,表明随着时间变化两组多普勒血流图比较差异无明显统计学意义。结论 酚妥拉明疗效与罂粟碱疗效相当,但微量泵入酚妥拉明可有效降低不良反应发生率。

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备注/Memo

备注/Memo:
基金项目:2021年河南省科技攻关项目(项目编号:LHGJ20210993)
更新日期/Last Update: 2024-03-20