中西医结合治疗下肢创伤性深静脉栓塞65例疗效观察

发布时间：2018-05-05 09:53

本文选题：深静脉血栓栓塞 + 创伤　；参考：《新中医》2010年12期

【摘要】：目的:观察中西医结合治疗下肢创伤性深静脉栓塞的临床疗效。方法:将130例下肢创伤后并发深静脉栓塞患者随机分为2组,各65例,西医治疗组采用单纯的尿激酶溶栓治疗,中西医治疗组则在西医治疗组治疗方案的基础上根据中医辨证分为3型治疗。治疗前和治疗2周后分别记录患者疼痛和肿胀情况及彩色多普勒超声检查,并用皮尺测量患肢与健肢同一部位的周径,最后进行疗效评定。结果:总有效率西医治疗组为90.8%,中西医治疗组为96.9%。中西医治疗组总有效率明显高于西医治疗组,2组比较,差异有显著性意义(P0.05)。结论:中医辨证用药结合抗凝和溶栓综合疗法是治疗下肢创伤性深静脉栓塞形成的有效方法。
[Abstract]:Objective: To observe the clinical efficacy of integrated traditional Chinese and Western medicine in the treatment of deep venous embolism of lower extremities. Methods: 130 patients with deep venous thrombosis after lower limb trauma were randomly divided into 2 groups, 65 cases each, western medicine treatment group using simple urokinase thrombolytic therapy, and Western medicine treatment group on the basis of Western medicine treatment group based on TCM syndrome differentiation. It was divided into 3 types of treatment. Before and after 2 weeks of treatment, the pain and swelling of the patients were recorded and the color Doppler ultrasonography was recorded respectively. The circumference of the same part of the affected limbs and the injured limb was measured with the tape measure. The results were as follows: the total effective rate was 90.8% in the western medicine treatment group. The total effective rate of the Chinese and Western treatment group with 96.9%. and Western medicine was obvious. Compared with the western medicine treatment group, the difference between the 2 groups was significant (P0.05). Conclusion: the combination of TCM syndrome differentiation and anticoagulant and thrombolytic therapy is an effective method for the formation of deep venous embolism in the lower extremities.

【作者单位】：广州中医药大学附属佛山市中医院骨科;
【分类号】：R654.4

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