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云南白药对颈椎管扩大成形术出血量影响的研究
引用本文:林焕阳,金大地,陈建民,王建军.云南白药对颈椎管扩大成形术出血量影响的研究[J].中国中医药现代远程教育,2008,6(10).
作者姓名:林焕阳  金大地  陈建民  王建军
作者单位:南方医科大学南方医院脊柱骨病科,广州,510515
摘    要:目的观察云南白药在围手术期对颈椎管扩大成形术术中出血量及术后引流量的影响。方法2004~2005年我科收治的脊髓型颈椎病并行后路颈椎管扩大成形术40例,分成两组,分别服用云南白药胶囊和淀粉胶囊;术前术后测定红细胞计数、血色素、血小板计数、凝血酶原时间(PT)、部分凝血活酶时间(APTT);计算全部病人围手术期出血量。结果两组病人的凝血酶原时间(PT)、部分凝血活酶时间(APTT)比较服药前与术后有显著性差异(P<0.05):试验组的术中出血量、术后24h引流量及术后48h引流量比安慰剂组明显减少,具有显著性差异(P<0.05)。结论云南白药胶囊能够明显减少颈椎后路单开门减压椎板扩大成形术围手术期出血量,有良好的止血作用。

关 键 词:云南白药  椎管成形术  出血量  围手术期  中医药疗法

A study on YunnanBaiyao that effected the patients' bleeding volume in cervical posterior Iaminoplasty
LIN Huan-yang,JIN Da-di,CHEN Jang-min,WANG Jian-jun.A study on YunnanBaiyao that effected the patients'' bleeding volume in cervical posterior Iaminoplasty[J].Chinese Medicine Modern Distance Education of China,2008,6(10).
Authors:LIN Huan-yang  JIN Da-di  CHEN Jang-min  WANG Jian-jun
Institution:LIN Huan-yang,JIN Da-di,CHEN Jang-min,WANG Jian-jun Deparatment of Orthopedics , Spine Surgery,Nanfang Hospital,North Medical University,Guangzhou,Guangdong,510515,China
Abstract:AIM To investigate the effect of YunnanBaiyao on the bleeding around the operation stage and then experimenter observed. Methods The experimenter divides the 40 patients in cervical posterior laminoplasty into two groups, in which one is experiment group and another is control group. To determin red blood cell count, blood pigment, blood platelets count, PT, APTT. And to calculate theperioperative bleeding volume of all patients. Results PT and APTT in the two groups are striking different The bleeding volu...
Keywords:uunnan Baiyao  TCM  cervical posterior laninop lasty  
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