在上方白血造形术中,与上腺素和利多卡因一起进行皮下注射的特兰胺酸:一项随机双盲对照试验
Thitinan Chaichumporn1, Puritat Kanokkangsadal2, Achariya Sarovath3
1Division of Plastic and Maxillofacial, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Thanon Rama VI, Thung Phaya Thai, Ratchathewi, Bangkok, 10400, Thailand. jannythiti@gmail.com.
Aesthetic plastic surgery
|May 24, 2024
概括
在眼皮手术中添加特兰胺酸 (TXA) 于局部麻醉剂,在手术过程中增加了出血. 这种组合并没有减少手术后的胀或伤,这表明在白血造形术中应谨慎使用.
科学领域:
- 整形外科 整形外科 整形外科
- 眼科医生 眼科 眼科
- 麻醉学 麻醉学
背景情况:
- 眼皮手术是一种常见的美容手术,有可能导致手术内出血.
- 流血可能导致不良事件和患者不满.
- 这项研究研究了一种新的方法来管理出血和炎症.
研究的目的:
- 为了评估与上腺素结合的胺酸 (TXA) 在减少上部白血造形术期间手术内流血的疗效.
- 评估TXA对术后胀和炎症的影响.
主要方法:
- 一项前性随机对照试验,涉及15名患者 (30只眼皮).
- 一只眼睛接受了利多卡因与上腺素和TXA;另一个眼睛接受了利多卡因与上腺素和盐水.
- 在各组之间比较了手术期间输血和手术后的结果.
主要成果:
- 与对照组相比,TXA组的手术内流血明显高于对照组 (p < 0.001).
- 两组之间在手术时间,疼痛,眼,MRD1或病方面没有发现显著差异.
- 手术后的胀和伤在7天后没有显示出统计学上显著的差异.
结论:
- 与利多卡因和上腺素结合的TXA在白血造形术中增加了手术内出血.
- 这种组合并没有改善术后的胀或.
- 在TXA在这种情况下使用之前,需要进一步研究以了解潜在的药物相互作用.
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