高压氧治疗手部皮瓣断蒂术后患肢血运障碍(附30例报告)  

An Analysis of the therapeutic effect of blood supply insufficiency of injured limbs after dissection of the pedicles of abdominal flaps treated with hyperbaric oxygen in 30 cases

作　　者：刘晖[1] 杨启菁[1] 

机构地区：[1]北京积水潭医院高压氧科,100035

出　　处：《北京医学》2006年第5期284-285,共2页Beijing Medical Journal

摘　　要：目的分析高压氧治疗手部腹部皮瓣断蒂术后患肢血运障碍的临床疗效。方法选择手外科收治的60例手部外伤行腹部皮瓣断蒂术后患肢出现血运障碍患者,随机分为高压氧治疗组(治疗组)30例,常规治疗组(对照组)30例。结果治疗组治愈25例,有效2例,无效3例;对照组治愈5例,有效14例,无效11例。两组治愈率有显著性差异(P<0.05)。结论高压氧治疗可刺激缺血部位新血管生成,改善受损肢体血流,减轻水肿,改善局部缺血缺氧状态,促进受损组织的愈合。疗效对比显示高压氧可提高皮瓣的成活率。Objective To observe and analyze the therapeutic outcome of Hyperbaric Oxygen Therapy （HBOY） for Blood Supply Insufficiency of Injured Limbs after Dissection of the Pedicles of Abdominal Flaps. Methods 60 patients in the past 5 years from Hand Surgery Dept. with Blood Supply Insufficiency of Injured Limbs after Dissection of the Pedicles of Abdominal Flaps, were selectea and were randomly divided into 2 groups. HBOT treated group （30 cases） and the convention treated group （30 cases）. Results In the HBO treated group, 25 cases healed （83.3%）, 2 improved, 3 failed; the convention treated group, 5 case healed, 14 improved, 1 lfailed. There were clinically important and statistically significant differences between two groups in curative rates （P〈0.05）. Conclusions HBOT stimulates the growth of new blood vessels at the locations with reduced circulation, increases blood flow to the injured limbs, decreases edema, improves the condition of ischemia and hypoxia and promotes the healing of the compromised tissues. The results suggest that HBOT improves the curative rate of flaps.

关 键 词：高压氧 皮瓣断蒂术后 皮瓣血运障碍 手部腹部皮瓣断蒂术 

分 类 号：R658.2[医药卫生—外科学] R622.1[医药卫生—临床医学]