{"id":41312,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-la-respuesta-inmune-y-reactantes-de-fase-aguda-en-cirugia-ortopedica-y-traumatologia\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"estudio-de-la-respuesta-inmune-y-reactantes-de-fase-aguda-en-cirugia-ortopedica-y-traumatologia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-la-respuesta-inmune-y-reactantes-de-fase-aguda-en-cirugia-ortopedica-y-traumatologia\/","title":{"rendered":"Estudio de la respuesta inmune y reactantes de fase aguda en cirugia ortopedica y traumatolog\u00eda."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Miguel Olmeda Roberto De <\/strong><\/h2>\n<p>Material y m\u00e9todos: 100 pacientes aleatorios intervenidos de artroplastia de cadera, (47 por fractura subcapital de f\u00e9mur garden iv, y 53 por otras causas (39 coxartrosis, 14 necrosis avasculares)). Se implant\u00f3 una artroplastia parcial en los pacientes (38) y total en el resto (62). Se midi\u00f3 la respuesta de hipersensibilidad retardada mediante la inoculaci\u00f3n, en el momento del ingreso (pre) del multitest r (m\u00e9rieux), leyendo la reacci\u00f3n de induraci\u00f3n a las 48 horas ((+) induraci\u00f3n &gt; 2 mm. En mujeres, 5 mm. En hombres), clasific\u00e1ndose en: -normo\u00e9rgicos, (+) a dos o m\u00e1s ant\u00edgenos; -hipo\u00e9rgicos, un solo ant\u00edgeno; -an\u00e9rgicos, ninguna respuesta. se estudi\u00f3 el estado nutricional en el pre: prote\u00ednas totales, alb\u00famina y colesterol en sangre, as\u00ed como talla, peso, p\u00e9rdida de peso relativa (ppr), pliegue cut\u00e1neo tricipital (pct) y circunferencia muscular del brazo (cmb); (tres o m\u00e1s de estos par\u00e1metros por debajo de lo normal, paciente malnutrido). En el pre y al 2 d\u00eda tras la intervenci\u00f3n fueron determinados en sangre: a-1-antitripsina, a-2-macroglobulina, haptoglobina, ceruloplasmina y fibronectina, inmunoglobulinas a (iga), m (igm) y g (igg), fracciones del complemento c3, c4 y c5, y factor b. Se estudi\u00f3 la evoluci\u00f3n de cada una de estas variables y su relaci\u00f3n con grupos diagn\u00f3sticos y de tratamiento, as\u00ed como con la edad y el sexo. Se aplicaron las pruebas estad\u00edsticas de la u de mann-whitney, wilcoxon, chi cuadrado y anova.  resultados: se observaron diferencias significativas en cuanto a la edad p=0, 0001 mayor en pacientes con fracturas. No se hallaron relaciones estad\u00edsticamente significativas entre diagn\u00f3stico, estado nutricional o energia, e infecci\u00f3n. No encontramos diferencias significativas del estado nutricional respecto a la edad, pero s\u00ed un mayor estado de desnutrici\u00f3n en el grupo de fractura (p&lt;0,05). La poblaci\u00f3n normo\u00e9rgica represent\u00f3 en nuestro estudio el 61% de los pacient<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la respuesta inmune y reactantes de fase aguda en cirugia ortopedica y traumatolog\u00eda.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la respuesta inmune y reactantes de fase aguda en cirugia ortopedica y traumatolog\u00eda. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Miguel Olmeda Roberto De <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Fernando Seral I\u00f1igo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Cia gomez <\/li>\n<li>Luis Larraz mur (vocal)<\/li>\n<li>Miguel Sanchez martin (vocal)<\/li>\n<li>daniel Casanova rituerto (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Miguel Olmeda Roberto De Material y m\u00e9todos: 100 pacientes aleatorios intervenidos de artroplastia de cadera, (47 por [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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