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[西美多宁在烧伤患者治疗中的应用]

[Ximedone in the treatment of patients with burns].

作者信息

Shafikov I Z, Izmaĭlov G A, Izmaĭlov S G, Gorbunov S M, Mavziutov L Kh, Abdulkhakov R A, Evranova G B, Usmanova S A, Rakhmatullina-Miller T F

出版信息

Khirurgiia (Mosk). 1993 Apr(4):62-6.

PMID:8084173
Abstract

The authors studied xymedone, a new medicamentous agent from the group of pyrimidine derivatives. It was prescribed per os, 0.5 g taken three times daily. The experimental group consisted of 52 patients with IIIA and B degree thermal burns covering an area of 10 to 40%. The comparative appraisal was conducted with patients (60) treated by a complex of measures including methyluracil. Analysis of the obtained data showed a statistically significant, as compared to the controls, more rapid restoration of the peripheral blood parameters, decrease of C-reactive protein and level of sialic acid, and increase of total protein content and its gamma globulin fraction. Xymedone contributed to correction of blood dysproteinemia and produced an active effect on nucleic acid metabolism; the level of nucleic acids in the cells of the granulation tissue was much higher in the experimental group after treatment than in the controls. The normal ratio of T- and B-lymphocytes was restored and the phagocytosis indices grew. The production of coagulation and anticoagulation factors became normal, which coincided with cleaning of the granulations from fibrinous deposits and disappearance of the pathological predisposition to bleeding and easy damage of the granulation tissue. Under the effect of the agent the patients' appetite improved, the duration of the dehydration phase reduced, the rate of growth of microgranular granulations and epithelium increased, and the incidence of keloid cicatrices decreased. No unfavorable side effects of the agent were encountered. Xymedone is recommended for wide use in medical practice.

摘要

作者研究了嘧啶衍生物类的一种新型药物——二甲双酮。口服给药,每日3次,每次0.5克。实验组由52例III A和B度热烧伤患者组成,烧伤面积为10%至40%。与采用包括甲基尿嘧啶在内的综合措施治疗的60例患者进行了对比评估。对所得数据的分析表明,与对照组相比,外周血参数恢复更快,C反应蛋白和唾液酸水平降低,总蛋白含量及其γ球蛋白组分增加,差异具有统计学意义。二甲双酮有助于纠正血液蛋白异常,并对核酸代谢产生积极影响;治疗后实验组肉芽组织细胞中的核酸水平远高于对照组。T淋巴细胞和B淋巴细胞的正常比例得以恢复,吞噬指数增加。凝血和抗凝因子的产生恢复正常,这与肉芽组织中纤维蛋白沉积物的清除以及出血的病理易感性和肉芽组织易受损性的消失相一致。在该药物的作用下,患者食欲改善,脱水期持续时间缩短,微颗粒肉芽组织和上皮的生长速度加快,瘢痕疙瘩的发生率降低。未发现该药物有不良副作用。建议在医学实践中广泛使用二甲双酮。

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