Hadlock Tessa A, Kim Jennifer, Deschler Daniel G
Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, 243 Charles St, Boston, MA 02114, USA.
Arch Facial Plast Surg. 2003 Jan-Feb;5(1):36-9. doi: 10.1001/archfaci.5.1.36.
To examine the effect of administration of a low-molecular-weight heparin derivative, enoxaparin, on the rate of arterial thrombosis in a rat model.
Prospective, randomized, blinded study.
A standard microarterial anastomosis tuck injury was created in both femoral arteries of 25 Long Evans retired breeder rats. Thirteen animals received a subcutaneous injection of 50 IU/kg of enoxaparin 2 hours before the procedure, while 12 control animals received vehicle (isotonic sodium chloride solution) alone. Sites of injury/repair were assessed 2 hours after the procedure for anastomotic patency or thrombosis.
Six (23%) of 26 vessels in the drug-treated group developed an arterial thrombosis at the site of repair, while 6 (25%) of 24 vessels in the control group developed thrombosis. There was no statistically significant difference at the 95% confidence limit between the 2 groups based on a comparison-of-proportions test.
The preoperative subcutaneous administration of 50 IU/kg of enoxaparin did not alter the rate of arterial thrombosis following the creation of a thrombogenic tuck injury/repair of the rat femoral artery.
在大鼠模型中研究低分子量肝素衍生物依诺肝素给药对动脉血栓形成率的影响。
前瞻性、随机、盲法研究。
对25只Long Evans退休繁殖大鼠的双侧股动脉造成标准的微动脉吻合襻损伤。13只动物在手术前2小时皮下注射50 IU/kg依诺肝素,而12只对照动物仅接受赋形剂(等渗氯化钠溶液)。术后2小时评估损伤/修复部位的吻合通畅情况或血栓形成情况。
药物治疗组26条血管中有6条(23%)在修复部位发生动脉血栓形成,而对照组24条血管中有6条(25%)发生血栓形成。基于比例比较检验,两组在95%置信限下无统计学显著差异。
术前皮下注射50 IU/kg依诺肝素不会改变大鼠股动脉血栓形成性襻损伤/修复后动脉血栓形成的发生率。