[1]王垚 刘剑 余国光.通脉活血方对断指再植术后再植成活率的影响[J].中国中医骨伤科杂志,2021,29(06):41-44.
　WANG Yao LIU Jian YU Guoguang.Efficacy of Tongmai Huoxue Recipe on Replantation Survival Rateand Therapeutic Efficacy of Severed Finger Replantation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(06):41-44.
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通脉活血方对断指再植术后再植成活率的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年06期
页码:
41-44
栏目:
临床研究
出版日期:
2021-06-15

文章信息/Info

Title:
Efficacy of Tongmai Huoxue Recipe on Replantation Survival Rateand Therapeutic Efficacy of Severed Finger Replantation
文章编号:
1005-0205(2021)06-0041-04
作者:
王垚1 刘剑1 余国光1
1浙江余姚人民医院手足显微外科(浙江 余姚,315400)
Author(s):
WANG Yao1 LIU Jian1 YU Guoguang1
1Department of Hand and Foot Microsurgery,Yuyao People’s Hospital,Yuyao 315400,Zhejiang China.
关键词:
通脉活血方;  断指再植;  血管危象;  再植成活率
Keywords:
tongmai huoxue recipe;  replantation of severed fingers;  replantation survival rate;  sensory function
分类号:
R687.3
文献标志码:
A
摘要:
目的:研究通脉活血方对断指再植术后再植成活率的影响。方法:选择2018年7月至2019年12月行断指再植术者共64例,根据随机数字表法将病例分为两组,每组各32例,其中一组为对照组(西医常规治疗),另一组为观察组(西医常规治疗+通脉活血方),比较两组患者断指再植术3个月后的再植成活率及不良反应。结果:观察组血管危象、手术探查、再植体坏死指数明显小于对照组,差异有统计学意义(P<0.05); 两组不良反应率比较差异无统计学意义(P> 0.05); 观察组的断指再植成活率和术后优良率均高于对照组,差异有统计学意义(P<0.05)。结论:通脉活血方可以显著提高断指再植成活率,同时也有良好的治疗效果,具有临床推广应用价值。
Abstract:
To investigate the efficacy of tongmai huoxue recipe on replantation survival rate and treatment effect of severed finger replantation.Methods:The clinical data of 64 patients with severed finger replantation in hospital from September 2017 to September 2019 were analyzed retrospectively.The cases were divided into two groups according to the random number table method,and 32 cases in each group.One group was the control group(conventional western medicine treatment),and the another group was the observation group(conventional western medicine treatment + Tongmai Huoxue decoction).The replantation survival rate and treatment efficacy were compared between the two groups 3 months later.Results:Three months after operation,the survival rate of the observation group was 93.75%,which was significantly higher than 87.38% of the control group(P<0.05).The excellent and good rate of the observation group was 90.63%,which was higher than 75.00% of the control group,the difference was statistically significant(P<0.05).Conclusion:Tongmai huoxue decoction can significantly improve the survival rate of replantation after replantation of severed fingers,and it is also conducive to the recovery of sensory function,which has certain clinical application value.

参考文献/References:


[1] 吕文涛,巨积辉,蒋国栋,等.肌腱原位缝合在撕脱性断指再植术中的应用[J].中华手外科杂志,2019,35(4):258-260.
[2] 梁中星.断指再植术后改良治疗方案对再植指成活率和血管危象发生率的影响[J].中国实用医刊,2017,44(4):103-105.
[3] 张国强,吴寿和,黎洁玲.丙帕他莫和地佐辛用于断指再植术后超前镇痛防治血管危象的临床研究[J].中国医师杂志,2018,20(4):543-545.
[4] 许兵,方剑利,刘慧,等.补肾活血方对去势大鼠骨质疏松的影响[J].中华骨质疏松和骨矿盐疾病杂志,2011,4(3):177-182.
[5] 房玉霞,周婷婷,关银银.集束化干预策略对断指再植术后患者舒适度的影响[J].中华显微外科杂志,2018,41(6):603-605.
[6] 李靖,朱庆生,赵广跃,等.末节断指再植术后血管危象的危险因素[J].中华骨科杂志,2004,24(8):478-480.
[7] 尤科,巨积辉,周正虎,等.肝素两种给药方式对断指再植成活率的影响[J].中华手外科杂志,2018,34(2):111-113.
[8] 张建华,谢振军,赵国红,等.健指指动脉移植在手指末节撕脱离断伤再植中的应用[J].中华手外科杂志,2018,34(5):389-390.
[9] 郭磊磊,李丹,谢敏,等.当归补血汤对冠脉慢血流气虚血瘀证患者Hcy、ADMA水平的影响[J].重庆医学,2017,12(46):120-122.
[10] 吕燃,范海平,潘建科,等.益气活血方在全髋关节初次置换术后患者中的应用效果[J].山东医药,2018,58(29):68-70.
[11] 陈毅,王海丽,薛露,等.茜草的研究进展[J].中草药,2017,34(13):2771-2778.
[12] 许筱凰,李婷,王一涛,等.桃仁的研究进展[J].中草药,2015,46(17):2649-2655.
[13] 杨秀娟,邓毅,杨志军,等.当归不同药用部位对溶血性血虚大鼠的补血作用[J].中国临床药理学杂志,2018,34(18):61-64.
[14] 邵蒙苏,邸莎,毕超然,等.泽兰的临床应用及其用量[J].长春中医药大学学报,2020,36(1):26-28.
[15] 高艳奎,张莉莉,柳荣,等.王不留行的临床应用及其用量[J].长春中医药大学学报,2020,36(2):33-35.
[16] 许茹,钟凤林,吴德峰.中药青皮本草考证[J].中药材,2013,36(6):1018-1023.
[17] 边梦雪,于志勇.香附提取物在表柔比星促进三阴性乳腺癌细胞凋亡中的作用及机制[J].山东医药,2020,60(1):44-47.
[18] 韩丽丽,靳红领.赤芍甘草汤联合利伐沙班治疗下肢深静脉血栓疗效研究[J].陕西中医,2019,40(3):354-357.

更新日期/Last Update: 2021-06-15