益气活血法对下肢动脉硬化闭塞症重症下肢动脉缺血介入术后的疗效

发布时间：2018-09-06 19:31

【摘要】：目的观察益气活血法干预下肢动脉硬化闭塞症重症缺血患者介入术后的临床疗效。方法将43例重症下肢动脉缺血患者随机分为治疗组和对照组。对照组行常规西医治疗,治疗组在常规西医治疗的基础上加用益气活血方药。疗程均为6个月。对比两组患者术后1、3、6个月踝肱指数(ABI)、临床症状及术后血管通畅率。结果与对照组比较,治疗组术后1、3、6个月ABI值明显增高(P0.05),治疗组术后3、6个月间隙性跛行、静息痛发生率明显低于对照组(P0.05);术后3、6个月血管通畅率治疗组高于对照组,两组比较差异有统计学意义(P0.05)。结论益气活血法能提高重症缺血患者术后的临床疗效,改善患者预后,在减少术后血管再狭窄程度方面具有一定的优势。
[Abstract]:Objective to observe the clinical effect of Yiqi Huoxue method on severe ischemic patients with arteriosclerosis obliterans of lower extremity after interventional operation. Methods 43 patients with severe arterial ischemia of lower extremity were randomly divided into treatment group and control group. The control group was treated with routine western medicine, and the treatment group was treated with the prescription of invigorating qi and activating blood circulation on the basis of routine western medicine. The course of treatment was 6 months. The clinical symptoms of malleolus brachial index (ABI),) and the patency rate were compared between the two groups at 1 and 6 months postoperatively. Results compared with the control group, the ABI value in the treatment group was significantly higher than that in the control group (P0.05), the incidence of intermittent claudication and resting pain in the treatment group was significantly lower than that in the control group (P0.05), and the patency rate of blood vessels in the treatment group was higher than that in the control group at 3,6 months after operation. The difference between the two groups was statistically significant (P0.05). Conclusion the method of invigorating qi and activating blood circulation can improve the clinical effect and improve the prognosis of severe ischemic patients after operation. It has some advantages in reducing the degree of restenosis of blood vessels after operation.
【作者单位】：广州中医药大学第二临床医学院(广东省中医院);
【基金】：广东省教育厅高校优秀青年创新人才培养计划项目(编号:2013LYM0013)
【分类号】：R543.5

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