超声引导下星状神经节阻滞联合三氧大自血治疗对断指再植术后血管危象的临床研究
作者:
作者简介:

刘良燚(1980.4-),男,贵州遵义人,硕士,副主任医师,主要从事慢性疼痛诊治工作

通讯作者:

李木卫(1980.2-),男,广东揭阳人,本科,主任医师,主要从事手部创伤修复与重建方面研究

中图分类号:

R658.1

基金项目:

深圳市龙岗区科技局项目(编号:LGKCYLWS2020118)


Clinical Study of Ultrasound-guided Stellate Ganglion Block Combined with Ozone Autohemotherapy on Vascular Crisis After Replantation of Severed Fingers
Author:
  • 摘要
  • | |
  • 访问统计
  • |
  • 参考文献 [13]
  • |
  • 相似文献 [20]
  • | | |
  • 文章评论
    摘要:

    目的 探讨在断指再植术后的应用星状神经节阻滞联合三氧大自血对于预防血管危象发生及提高指 体存活率的作用。方法 选取2021年2月-2022年6月深圳市龙岗区骨科医院手外科收治的40例断指再植患 者为研究对象,随机分为对照组和观察组,每组20例。对照组术后给予常规抗感染、抗凝、抗痉挛治疗, 观察组在对照组基础上给予星状神经节阻滞联合三氧大自血治疗,比较两组临床疗效、血管危象发生率、 再植存活率、红细胞(RBC)聚集指数及凝血酶原时间(PT)。结果 观察组治疗优良率为90.00%,高于 对照组的40.00%(P<0.05);观察组血管危象发生率为10.00%,低于对照组的55.00%(P<0.05);观察组 再植存活率为92.59%,高于对照组的54.05%(P <0.05);观察组治疗后RBC聚集指数、PT均优于对照组 (P <0.05)。结论 星状神经节阻滞联合三氧大自血治疗可改善血液流变学和血液高凝状态,可有效预防 血管危象发生,有利于提高指体存活率,治疗效果优于常规三抗治疗。

    Abstract:

    Objective To investigate the effect of stellate ganglion block combined with ozone autohemotherapy on preventing vascular crisis and improving the survival rate of fingers after replantation of severed fingers. Methods A total of 40 patients with replantation of severed fingers admitted to the Department of Hand Surgery, Shenzhen Longgang District Orthopedic Hospital from February 2021 to June 2022 were randomly divided into control group and observation group, with 20 patients in each group. The control group was given routine anti-infection, anticoagulation and anti-spasm treatment after operation, and the observation group was given stellate ganglion block combined with ozone autohemotherapy on the basis of the control group. The clinical efficacy, incidence of vascular crisis, replantation survival rate, red blood cell (RBC) aggregation index and prothrombin time (PT) were compared between the two groups. Results The excellent and good rate of treatment in the observation group was 90.00%, which was higher than 40.00% in the control group (P <0.05). The incidence of vascular crisis in the observation group was 10.00%, which was lower than 55.00% in the control group (P <0.05). The survival rate of replantation in the observation group was 92.59%, which was higher than 54.05% in the control group (P <0.05). After treatment, RBC aggregation index and PT in the observation group were better than those in the control group (P <0.05). Conclusion Stellate ganglion block combined with ozone autohemotherapy can improve hemorheology and hypercoagulability, effectively prevent vascular crisis, and improve the survival rate of fingers. The therapeutic effect is better than that of conventional three antibody therapy.

    参考文献
    [1]赖天,林金贵,吴昊.断指再植术后血管危象的多因素分析 [J].中国卫生标准管理,2020,11(2):32-35.
    [2]陈飞鹏.断指再植术发生血管危象的原因分析及防治心 得[J].中国基层医药,2019,26(19):2310-2313.
    [3]粟世红,龙昭君.超声引导与盲探穿刺对行星状神经节 阻滞患者血流动力学的影响[J].现代医学与健康研 究,2020,4(22):126-128.
    [4]王莎,王明芳.断指再植术后血管危象的危险因素分析[J]. 山西医药杂志,2020,49(24):3454-3456.
    [5]石宇,郑文,赵玲珑,等.断指再植患者术后血清MDA、 SOD、VEGF水平变化与动脉血管危象发生的关系及其 预测效能[J].山东医药,2023,63(15):11-15.
    [6]王垚,刘剑,余国光.通脉活血方对断指再植术后再植成活 率的影响中国[J].中医骨伤科杂志,2021,29(6):41-44.
    [7]黄飞,陈日恒,罗耀辉,等.手指撕脱伤患者断指再植术后发 生血管危象的相关因素[J].临床与实践,2021,19(11):50-52.
    [8]石卫军,金晓红,王丽娜.超声引导下星状神经节阻滞应用 于断指再植术后的临床疗效[J].南京医科大学学报(自 然科学版),2020,40(8):1206-1209.
    [9]赵丽阳,邹艳,顾群亚.手外伤皮瓣移植术病人术后血管危象 风险预测模型的构建及验证[J].全科护理,2021,19(35):4918- 4921.
    [10]韩杰.三氧大自血治疗在下肢动脉硬化闭塞症患者护理 中的应用效果[J].医疗装备,2021,34(6):163-164.
    [11]周燕琴,吴琴丽,高特生.三氧预充回收自体血后的红细胞 流变学和功能变化研究[J].现代实用医学,2021,33(7):893- 895.
    [12]陈水成,刘济泳,邓卫.医用三氧血自体血回输治疗急性 脑梗死的疗效及对患者脑功能重塑的影响[J].黑龙江医 药,2021,34(1):28-30.
    [13]谢韬.游离组织瓣移植术后血管危象的影响因素分析 [D].衡阳:南华大学,2019.
    引证文献
    网友评论
    网友评论
    分享到微博
    发 布
引用本文

刘良燚,李木卫,袁林章,等.超声引导下星状神经节阻滞联合三氧大自血治疗对断指再植术后血管危象的临床研究[J].医学美学美容,2024,33(12):106-109.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 在线发布日期: 2024-07-15