罂粟碱对动静脉内瘘成形术血管痉挛的治疗作用

目的:探讨动静脉内瘘成形术围手术期应用罂粟碱对血管痉挛的治疗作用。方法:44例患者分为4组。A组:血管痉挛,术中应用罂粟碱;B组:血管痉挛,术中和术后应用罂粟碱;C组:血管痉挛,术中应用利多卡因;D组:对照组,无血管痉挛。观察术后一周内内瘘血栓形成情况。结果:共5例患者血栓形成,其中A组2例,C组3例。B组和D组无一例血栓形成。B组与C组有统计学差异。结论:动静脉内瘘成形术围手术期应用罂粟碱能有效地缓解血管痉挛,提高手术成功率,术中和术后联合用药效果优于仅术中用药。

Papaverine on Treatment of Vesospasm of Arteriovenostomy

Objective:To explore the effect of papaverine on treatment of perioperative vesospasm in arteriovenostomy.Method: forty-four patients were divided into 4 groups.Group A:appeared vesospasm,used papaverine during operation;Group B:appeared ve- sospasm,used papaverine during and after operation;Group C:appeared vesospasm,used lidocain during operation;Group D:control group without vesospasm.Four groups were observed thrombogenesis within 1 week after operation.Result:There were 5 cases suffered thrombogenesis,2 in group A,3 in group C,and no one in group B and D.Group B had statistic difference with Group C.Conclusion: Using papaverine during perioperation of arteriovenostomy can cure vesospasm effectively and raise operative success ratio.The effect of using papaverine during and after operation is better than only using it during operation.