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[甲基丙烯酸甲酯(骨水泥)与抗生素的联合应用。细菌学及力学研究]

[Combination of methylmethacrylate (acrylic cement) and antibiotics. Bacteriologic and mechanical study].

作者信息

Fischer L P, Gonon G P, Carret J P, Vulliez Y, de Mourgues G

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1977 Jun;63(4):361-72.

PMID:144296
Abstract

The authors report the results of a study about the association of acrylic cement with antibiotics. Three cements have been tested: Simplex, CMW, Palacos, with 14 different antibiotics. A series of experiments has been carried out in three phases: a macroscopic study of the polymerisation of the mixture; in vitro bacteriological studies; and mechanical studies (trials of resistance to traction, flexion, shock measuring the modulus of elasticity and hardness). In vivo bacteriological testings have been carried out on 10 patients. It has come out from this study that the polymerisation of cement, usually does not destroy antibiotics which remain active and that the mechanical properties of cement are modified in sundry manners. All additions of tested antibiotics modifie mechanical properties by about 25 p. 100 but some additions seem to be preferable. Improvements must still be made and confirmed by this type of research.

摘要

作者报告了一项关于丙烯酸骨水泥与抗生素关联的研究结果。已对三种骨水泥进行了测试:Simplex、CMW、Palacos,搭配14种不同的抗生素。一系列实验分三个阶段进行:对混合物聚合的宏观研究;体外细菌学研究;以及力学研究(拉伸、弯曲、冲击试验,测量弹性模量和硬度)。对10名患者进行了体内细菌学测试。该研究表明,骨水泥的聚合通常不会破坏仍具活性的抗生素,且骨水泥的力学性能会以多种方式发生改变。所有测试抗生素的添加都会使力学性能改变约25%,但有些添加似乎更可取。仍需通过此类研究进行改进并加以证实。

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