中西医结合治疗2期以上血栓闭塞性脉管炎54例疗效评价

发布时间：2018-01-12 16:10

本文关键词：中西医结合治疗2期以上血栓闭塞性脉管炎54例疗效评价　出处：《世界中医药》2017年01期 　论文类型：期刊论文

【摘要】：目的:探讨中西医结合治疗2期以上血栓闭塞性脉管炎的疗效。方法:选取我院血管外科2012年7月至2016年3月54例2期以上血栓闭塞性脉管炎患者采用前列地尔,阿司匹林等扩管,抗血小板治疗及抗感染,并同时根据患者临床表现分为虚寒型,瘀滞型,热毒型,气血两虚型进行中医辨证治疗。局部溃疡给予局部外用中药,清创等对症处理。观察评价所有患者的治疗效果。结果:平均住院治疗37.5 d,9例坏疽患者有2例因缺血症状加重截肢,3例足趾呈干性坏疽而自行脱落;有42例在住院期间疼痛得到不同程度的改善,12例疼痛无明显改善;38例溃疡15例完全愈合,15例溃疡缩小,8例溃疡未见好转。出院时疗效为治愈17例,13例显效,17例进步,7例无效。总有效率87.1%。结论:中西医结合治疗2期以上血栓闭塞性脉管炎具有良好疗效。
[Abstract]:Objective: to investigate the therapeutic effect of combined traditional Chinese and western medicine on thromboembolic obliterative vasculitis in stage 2 or more. From July 2012 to March 2016, 54 patients with thromboangitis obliterans were treated with prostadil. Aspirin and other dilated tubes, anti-platelet therapy and anti-infection, and according to the clinical manifestations of patients divided into deficiency cold type, stasis type, heat toxic type. Qi-blood deficiency type was treated by TCM syndrome differentiation. Local ulcers were treated with local external Chinese medicine debridement and other symptomatic treatment. All patients were observed and evaluated the therapeutic effect. Results: the average hospitalization treatment was 37.5 days. Among 9 cases of gangrene, 2 cases were left off due to aggravated ischemic symptoms and 3 cases showed dry gangrene of toe. There were 42 cases of pain improved in different degree during hospitalization. 12 cases of pain did not improve significantly. There were 15 cases of complete healing of 38 cases of ulcers, 15 cases of ulcers were reduced, 8 cases of ulcers were not improved. At discharge, 17 cases were cured, 13 cases showed remarkable improvement and 17 cases improved. The total effective rate was 87.1%. Conclusion: combined traditional Chinese and western medicine is effective in the treatment of thromboembolic obliterative vasculitis in stage 2 or above.
【作者单位】：湖北省中医院血管外科;
【分类号】：R543
【正文快照】： 血栓闭塞性脉管炎(Thrombosis Obliterans,TAO)是一种以中小动脉节段性,非化脓性炎性反应和动脉腔内血栓形成为特征的慢性闭塞性疾病,偶尔侵犯并行静脉。根据TAO的病变发展程度,国内常分为局部缺血期,营养障碍期,坏疽期三期[1],该病在中医学中属于“脱疽”范畴,现代医学于1879

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