单纯抗凝与导管溶栓治疗急性上肢深静脉血栓的对照研究
发布时间：2019-04-25 08:49
【摘要】：目的:比较单纯抗凝与深静脉置管溶栓治疗急性上肢深静脉血栓形成的近期疗效,评价深静脉置管溶栓的应用价值。方法:回顾性分析2009年7月至2015年10月我院收治的33例急性上肢深静脉血栓患者,分为单纯抗凝组(A组,22例)和深静脉置管溶栓组(B组,11例),对比两组视觉模拟评分、上肢周径治疗前后平均减小值及主观症状评分的差异。结果:两组的上肢周径治疗前后平均减小值,B组为(1.2±0.3)cm,好于A组(0.5±0.1)cm,差异有统计学意义(P0.05),主观症状评分A组3.5±1.2;B组1.1±1.2。差异有统计学意义(P0.05)。结论:初步研究结果提示急性上肢深静脉血栓导管直接溶栓治疗较单纯抗凝治疗,患肢肿痛症状改善更明显,是一种安全有效的方法。
[Abstract]:Aim: to compare the short-term efficacy of anticoagulation and deep venous thrombolysis in the treatment of acute upper limb deep venous thrombosis (DVT) and to evaluate the clinical value of thrombolytic therapy. Methods: from July 2009 to October 2015, 33 patients with acute deep venous thrombosis of upper extremities were divided into two groups: group A (n = 22) and group B (n = 11). Visual analogue scores, average reduction of upper limb circumference and subjective symptom scores before and after treatment were compared between the two groups. Results: the average decrease of upper limb circumference in group B was significantly better than that in group A (1.2 卤0.3 cm, vs (0.5 卤0.1) cm, P0.05). The subjective symptom score of group A was 3.5 卤1.2; Group B 1.1 卤1.2. The difference was statistically significant (P0.05). Conclusion: the primary results suggest that direct thrombolytic therapy of acute upper extremity deep venous thrombosis is more effective and safe than anticoagulation therapy alone, and the symptoms of swelling and pain in the affected limbs are improved more obviously.
【作者单位】： 苏州大学附属第二医院血管外科;
【基金】：苏州市科技发展计划(编号:SYSD2015152)
【分类号】：R543.6
，
本文编号：2464955
[Abstract]:Aim: to compare the short-term efficacy of anticoagulation and deep venous thrombolysis in the treatment of acute upper limb deep venous thrombosis (DVT) and to evaluate the clinical value of thrombolytic therapy. Methods: from July 2009 to October 2015, 33 patients with acute deep venous thrombosis of upper extremities were divided into two groups: group A (n = 22) and group B (n = 11). Visual analogue scores, average reduction of upper limb circumference and subjective symptom scores before and after treatment were compared between the two groups. Results: the average decrease of upper limb circumference in group B was significantly better than that in group A (1.2 卤0.3 cm, vs (0.5 卤0.1) cm, P0.05). The subjective symptom score of group A was 3.5 卤1.2; Group B 1.1 卤1.2. The difference was statistically significant (P0.05). Conclusion: the primary results suggest that direct thrombolytic therapy of acute upper extremity deep venous thrombosis is more effective and safe than anticoagulation therapy alone, and the symptoms of swelling and pain in the affected limbs are improved more obviously.
【作者单位】： 苏州大学附属第二医院血管外科;
【基金】：苏州市科技发展计划(编号:SYSD2015152)
【分类号】：R543.6
，
本文编号：2464955
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