河北医药2024,Vol.46Issue(2) :243-246.DOI:10.3969/j.issn.1002-7386.2024.02.018

丹参片联合那屈肝素钙注射液对髋部骨折术后下肢静脉血流参数的影响

Effect of Danshen tablet combined with nadroparin calcium injection on blood flow parameters of lower limb veins after hip fracture surgery

王晓亚 杨淑仙 王浩 任猛 李文夺 李金涛 刘建军 刘西斌 任宝 左静
河北医药2024,Vol.46Issue(2) :243-246.DOI:10.3969/j.issn.1002-7386.2024.02.018

丹参片联合那屈肝素钙注射液对髋部骨折术后下肢静脉血流参数的影响

Effect of Danshen tablet combined with nadroparin calcium injection on blood flow parameters of lower limb veins after hip fracture surgery

王晓亚 1杨淑仙 1王浩 1任猛 1李文夺 1李金涛 2刘建军 3刘西斌 1任宝 4左静5
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作者信息

  • 1. 061100 河北省黄骅市人民医院骨科
  • 2. 061100 河北省黄骅市人民医院检验科
  • 3. 061100 河北省黄骅市人民医院中医科
  • 4. 河北大学附属医院骨科
  • 5. 061100 河北省黄骅市人民医院心内科
  • 折叠

摘要

目的 探讨丹参片联合那屈肝素钙注射液对髋部骨折术后下肢静脉血流参数的影响.方法 将 2021年 12 月至 2022 年 12 月接受髋部骨折手术治疗的 108 例患者作为研究对象,按随机数字表法分为对照组和观察组,每组 54 例,2 组均在术后开始用药,对照组采用那屈肝素钙注射液治疗,观察组采用丹参片联合那屈肝素钙注射液治疗,2 组均治疗 7d后,对比术前及术后7d患肢小腿直径差,对比术前及术后7d疼痛分级(NRS)、下肢静脉血流参数(股总静脉、股浅静脉、股深静脉)、凝血酶时间(TT)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、骨碱性磷酸酶(BALP)、骨钙素(BGP)、Ⅰ型胶原羧基端交联肽(CTX-1),比较 2 组术后下肢静脉血栓发生率、药物不良发生率.结果 观察组术前及术后 7d患肢小腿直径差明显低于对照组,NRS评分低于术前及对照组术后 7d,差异均有统计学意义(P<0.05);术后 7d观察组股总静脉、股浅静脉、股深静脉参数、TT、PT、APTT、BALP、BGP水平明显高于术前及对照组术后 7 天,CTX-1水平明显低于术前及对照组术后 7 天,差异均有统计学意义(P<0.05);2 组不良反应总发生率比较,差异无统计学意义(P>0.05);观察组下肢脉血栓发生率明显低于对照组(P<0.05).结论 丹参片联合那屈肝素钙注射液用于髋部骨折术后,能缓解患者肿胀及疼痛,加快下肢静脉血流,降低患者血液高凝状态,改善骨代谢指标,进而降低血栓发生率.

Abstract

Objective To investigate the effect of Danshen tablet combined with nadroparin calcium injection on blood flow parameters of lower limb vein after hip fracture surgery.Methods A total of 108 patients who received hip fracture surgery in our hospital from December 2021 to December 2022 were recruited.They were assigned into control group(n=54)and observation group(n=54)according to random number table.Medication was given after surgery.Nadroparin calcium injection was given to all patients,and those in the observation group were additionally managed by Danshen tablet.After 7 days of treatment,the diameter difference of affected legs before and 7 days after surgery was compared between the two groups.The Numeric Rating Scale(NRS)score,blood flow parameters of lower limb veins(common femoral vein,superficial femoral vein,deep femoral vein),thrombin time(TT),prothrombin time(PT),activated partial thromboplastin time(APTT),bone alkaline phosphatase(BALP),osteocalcin(BGP),and C-terminal cross-linked peptide of type Ⅰcollagen(CTX-1)were compared before and 7 days after surgery.The incidence of lower limb vein thrombosis and adverse drug reactions were compared between the two groups.Results At 7 days after surgery,the diameter difference of affected leg was significantly lower and the NRS score was significantly higher than those before surgery in both groups,which were significantly pronounced in the observation group than those of control group(P<0.05).At 7 days after surgery,the parameters of common femoral vein,superficial femoral vein and deep femoral vein,TT,PT,APTT,BALP and BGP were significantly higher,while CTX-1 level was significantly lower than those before surgery in both groups,which were significantly pronounced in the observation group than those of control group(P<0.05).There was no significant difference in the total incidence of adverse drug reactions between the two groups(P>0.05).The incidence of lower extremity vein thrombosis in the observation group was significantly lower than that of the control group(P<0.05).Conclusion Danshen tablets combined with nadroparin calcium injection can relieve the swelling and pain of patients after hip fracture surgery,accelerate the venous blood flow of lower limbs,reduce the blood hypercoagulability,improve bone metabolism indicators,and thus reduces the incidence of thrombosis.

关键词

丹参片/那屈肝素钙注射液/髋部骨折术/下肢静脉血流参数

Key words

Danshen tablets/nadroparin calcium injection/hip fracture/blood flow parameters of lower limb veins

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基金项目

沧州市科学技术局(213106136)

出版年

2024
河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
参考文献量21
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