奥曲肽联合透明质酸钠预防兔术后腹膜粘连的疗效评价
作者:
通讯作者:
作者单位:

作者简介:

何葵

基金项目:


Preventive effect of octreotide combined with sodium hyaluronate on postoperative intraperitoneal adhesions in rabbits
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 音频文件
  • |
  • 视频文件
    摘要:

    目的: 观察奥曲肽联合透明质酸钠预防兔术后腹膜粘连的效果。方法:建立兔术后腹膜粘连模型,然后分为4组:(1)术中不用药物处理设为模型对照组;(2)关腹前局部涂抹透明质酸钠设为透明质酸钠组;(3)关腹前腹腔内注射奥曲肽设为奥曲肽组;(4)关腹前局部涂抹透明质酸钠同时腹腔内注射奥曲肽设为联合组。术后14d剖腹观察,判定腹膜粘连程度等级。结果:4组粘连发生率比较无统计学意义(χ2=3.51, P>0.05);联合组重度粘连发生率(8.3%)显著低于其它3组(分别为66.7%,33.3%,25.0%)(均P<0.01)。奥曲肽组和透明质酸钠组两组的粘连级别近似(P> 0.05)。结论:奥曲肽和透明质酸钠均可减轻实验性腹膜粘连的程度和重度腹膜粘连发生率,两者合用其作用更明显,表明两药合用具有降低粘连的协同作用。

    Abstract:

    Abstract: Objective:To investigate the preventive effect of octreotide combined with sodium hyaluronate on postoperative abdominal adhesions in rabbits.
    Methods:The established postoperative abdominal adhesion models were divided into 4 groups:(1)without use of octreotide or sodium hyaluronate (model control group); (2)local application of sodium hyaluraronate(HA group) before closure of abdomen; (3)intraperitoneal injection of octreotide (OC group),(4)local application of sodium hyaluronate and peritoneal injection of octreotide 20ug/kg(OC+HA group). relaparotomy was done 14 days later, and the adhesion extent was judged.
    Results:Incidence rates of abdominal adhesion on the day 14 after the operation betweent the 4 groups were not different(P>0.05). However,the incidence rates of severe abdominal adhesion were different(P<0.05). In OC+HA group was significantly lower than that in the model control group、 octreotide group and HA group (P<0.05); and no significant difference between the octreofid group and sodium hyaluronate group (P>0.05).
    Conclusions: Combination of octreotide and sodium hyaluronate have the synergetic preventive action on the degree and rate of formation of severe peritoneal adhesions after abdominal operation in rabbits

    参考文献
    相似文献
    引证文献
引用本文

何葵,唐志晗,彭娟.奥曲肽联合透明质酸钠预防兔术后腹膜粘连的疗效评价[J].中国普通外科杂志,2007,16(2):11-.
DOI:10.7659/j. issn.1005-6947.2007.02.011

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2007-02-25