Nissen R, Loeschke S, Peters A
Abteilung für Unfallchirurgie, Chirurgischen Universitätsklinik Kiel.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1989:475-8.
Post-traumatic oedema is a limiting factor of early functional exercise following fractures. A review of drug prophylaxis used in many clinical studies is given. A 30% reduction of oedema development following bimalleolar fractures was achieved with cyclooxigenase inhibitors (azapropazone) and aprotinin. It is pointed out that non-steroidal antiphlogistic drugs inhibit the collagen metabolism during the healing of rat skin-wounds.
创伤后水肿是骨折后早期功能锻炼的一个限制因素。本文综述了许多临床研究中使用的药物预防措施。使用环氧化酶抑制剂(阿扎丙宗)和抑肽酶可使双踝骨折后的水肿形成减少30%。需要指出的是,非甾体抗炎药在大鼠皮肤伤口愈合过程中会抑制胶原蛋白代谢。