当归补血汤对预防胸外科术后深静脉血栓形成的疗效观察

发布时间：2018-08-16 10:36

【摘要】：目的:观察当归补血汤对预防胸外科术后深静脉血栓形成的疗效。方法:选取胸外科手术患者109例,随机分为对照组和治疗组,对照组采用一般运动辅助预防措施,主要包括术后早期被动和主动活动下肢,治疗组除接受与对照组患者相同的运动辅助干预措施,同时加服当归补血汤,从手术后开始服用,连续服用10 d。在实施DVT预防干预措施前,和干预10 d后分别采血测定凝血酶原时间,血小板计数,纤维蛋白原,血浆浓度和全血黏度等凝血相关指标或血流变学指标;两组患者在术后3~10 d接受无创血管多普勒超声检查。结果:经过预防干预治疗后,对照组深静脉栓塞发生率为23.64%,当归补血汤治疗组深静脉栓塞发生率为12.96%,与对照组相比,显著降低;两组的凝血酶原时间,血小板在干预前后无明显变化,血浆浓度,全血黏度和纤维蛋白原均比干预前显著下降(P0.05),并且治疗组各指标显著低于对照组(P0.05)。结论:当归补血汤对预防胸外科术后深静脉血栓形成有显著疗效。
[Abstract]:Objective: to observe the effect of Danggui Buxue decoction on preventing deep vein thrombosis after thoracic surgery. Methods: 109 patients undergoing thoracic surgery were randomly divided into two groups: the control group and the treatment group. In addition to receiving the same exercise assistant intervention as the control group, the treatment group took Danggui Buxue decoction (Danggui Buxue decoction) for 10 days. Thrombin time, platelet count, fibrinogen, plasma concentration and whole blood viscosity were measured before and 10 days after DVT intervention. The patients in both groups were examined by non-invasive Doppler ultrasound 3 days after operation. Results: after preventive intervention, the incidence of deep vein embolism was 23.64 in the control group and 12.96 in the Danggui Buxue decoction group, which was significantly lower than that in the control group. There was no significant change in platelet before and after intervention, plasma concentration, whole blood viscosity and fibrinogen were significantly lower than before (P0.05), and the treatment group was significantly lower than the control group (P0.05). Conclusion: Danggui Buxue decoction is effective in preventing deep vein thrombosis after thoracic surgery.
【作者单位】：河北大学附属医院;
【基金】：河北省软科学研究计划项目(12457612)
【分类号】：R655

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