摘要
目的探讨断指再植术后局部镇痛、抗痉挛的临床应用。方法2003年4～12月收治断指再植病例22例26指,随机分为L、M组,L组为对照组:采用目前术后常规镇痛方法;M组为试验组:采用局部镇痛、抗痉挛治疗。结果两组病例再植术后疼痛VAS评分有显著差异,M组明显低于L组,M组14例17指均成活,术后无一例发生血管危象。L组8例9指成活8指,1指术后发生血管危象失败。结论再植术后局部镇痛、抗痉挛方法镇痛效果良好、应用安全,对血管痉挛、血管危象具有良好预防和治疗作用。
Objective To investigate the effects and safety of local analgesia and anti vasospasm following replantation of severed fingers. Methods 22 cases with 26 fingers treated from April to December 2003 were randomly divided into the treatment group M (14 cases with 17 fingers) and the control group L (8 cases with 9 fingers). In group M local analgesia and anti vasospasm measures were performed. In group L conventional analgesia was adopted. Results The VAS score during hospitalization had significant difference between group M and group L, with the score of group M much lower than that of group L. The 17 fingers in group M survived and experienced no vascular crisis. 1 transplanted finger failed in group L because of vascular crisis. Conclusion Local analgesia and anti vasospasm following transplantation can produce good and safe results in prevention and treatment of vasospasm and vascular crisis.
出处
《中华创伤骨科杂志》
CAS
CSCD
2004年第11期1315-1316,共2页
Chinese Journal of Orthopaedic Trauma
关键词
断指再植术
镇痛
血管危象
Severed finger replantation
Analgesia
Vascular crisis
