筋膜间隔综合征的高压氧治疗与血浆纤粘素变化的关系

被引:3
作者
孙庆斌
刘植珊
高建章
杨瑞和
蒋美英
刘清乐
季品芳
陈文珍
机构
[1] 长海医院骨科
[2] 长海医院高压氧治疗室
关键词
筋膜间隔综合征; 纤粘素; 高压氧; 血浆;
D O I
10.16781/j.0258-879x.1988.05.004
中图分类号
学科分类号
摘要
本文首次报道采用253kPa的高压氧治疗24例创伤后筋膜间隔综合征(PACS)病人并采用免疫单扩散法检测了治疗前后血浆纤粘素(FN)的变化与预后的关系。30例健康人作为血浆FN的对照组。结果表明:16例早期PACS病人,经3~5次高压氧治疗,症状和体征逐渐好转,无1例作筋膜切开减压。6例筋膜切开减压后行高压氧治疗者,水肿、炎症消退,体温降低,临床症状好转。2例坏死期PACS虽然临床症状好转,但效果差。高压氧治疗后,病人血浆FN显著高于治疗前。分别较治疗前高43(18.9%;P<0.01)、61(24.7%;P<0.01)、49(17.2%;P<0.01)、57(17.4%;P<0.05)和55mg/L(16.6%;P<0.05)。根据本组研究的结果,提示高压氧是治疗早期PACS的有效非手术疗法和筋膜减压后有效辅助疗法。
引用
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页码:412 / 415+420 +420-503
页数:6
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