七厘散穴位贴敷对髋膝关节置换术后深静脉血栓形成的防治

发布时间：2018-11-10 21:27

【摘要】：目的:探讨中医治疗对髋膝关节置换后深静脉血栓(DVT)形成的防治效果。方法:将80例本病患者随机分成两组。实验组(40例)采用穴位贴敷联合基础治疗;对照组(40例)单纯基础治疗。比较两组在防治髋膝关节置换术后深静脉血栓形成的治疗效果和安全性。结果:对照组术后发生DVT 9例,实验组发生2例,两组DVT发生率有差别。两组患者凝血四项及D-dimer用药前无差别。两组患者凝血四项中PT、FIB、APTT用药后无差别;实验组TT高于对照组及D二聚体低于对照组。两组病例均未发生严重出血及大伤口血肿,伤口引流量实验组较对照组低。结论:基础治疗加七厘散穴位贴敷防治髋膝关节置换术后深静脉血栓形成的效果较好。
[Abstract]:Objective: to investigate the preventive and therapeutic effect of traditional Chinese medicine (TCM) on deep venous thrombosis (DVT) after hip and knee arthroplasty. Methods: 80 patients were randomly divided into two groups. The experimental group (40 cases) were treated with acupoint application combined with basic therapy, and the control group (40 cases) with simple basic therapy. To compare the efficacy and safety of the two groups in preventing and treating deep vein thrombosis after hip and knee arthroplasty. Results: there were 9 cases of DVT in the control group and 2 cases in the experimental group. The incidence of DVT was different between the two groups. There was no difference in four items of coagulation and D-dimer between the two groups. There was no difference in PT,FIB,APTT between the two groups, TT in the experimental group was higher than that in the control group and D dimer was lower than that in the control group. There was no severe bleeding and large wound hematoma in both groups, and the wound drainage volume in the experimental group was lower than that in the control group. Conclusion: the effect of basic treatment combined with Qili Powder on deep vein thrombosis after hip and knee arthroplasty is better.
【作者单位】：广东省深圳市宝安中医院;广州中医药大学;
【分类号】：R687.4

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