首页|桃红四物汤合防己黄芪汤结合空气压力波治疗仪预防术后下肢深静脉血栓的效果观察

桃红四物汤合防己黄芪汤结合空气压力波治疗仪预防术后下肢深静脉血栓的效果观察

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  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
目的:探究桃红四物汤合防己黄芪汤结合空气压力波治疗仪(IPC)对预防胸腰椎骨折术后下肢深静脉血栓(DVT)的疗效.方法:选取2019年5月～2022年5月行胸腰椎骨折修复术的患者92例,随机分为中药组和常规组,各46例,患者术后均给予基础治疗,常规组加用IPC治疗,中药组在常规组基础上加予桃红四物汤合防己黄芪汤,两组均治疗2周.比较两组DVT发生率、下肢血流动力学指标、凝血指标、下肢视觉模拟评分(VAS)、肢体周径,记录治疗期间不良反应.结果:中药组DVT发生率为13.04％,低于常规组的30.43％(P＜0.05);治疗后,两组股总静脉、胭静脉流速、血浆凝血酶原时间(PT)、部分活化凝血活酶时间(APTT)均升高(P＜0.05),且相较于常规组,中药组上述指标更高(P＜0.05);治疗后,两组D-二聚体(DD)、VAS评分、肢体周径均下降(P＜0.05),且相较于常规组,中药组上述指标更低;两组治疗期间不良反应无明显差异(P＞0.05).结论:桃红四物汤合防己黄芪汤结合IPC能明显降低胸腰椎骨折术后DVT的发生,加速下肢血流,改善其凝血功能,降低下肢肿胀、疼痛程度,值得临床应用.
Effects of Taohong Siwu decoction with Fangji Huangqi decoction combined with intermittent pneumatic compres-sion on preventing the postoperative deep venous thrombosis
Objective To explore the efficacy of Taohong Siwu decoction with Fangji Huangqi decoction combined with inter-mittent pneumatic compression(IPC)on the prevention of lower limb deep venous thrombosis(DVT)after thoracolumbar fracture surgery.Methods 92patients who underwent thoracolumbar fracture repair were enrolled between May 2019and May 2022and ran-domly divided into TCM group(n=46)and conventional group(n=46).Patients were given basic treatment after surgery,and the conventional group was added with IPC while the TCM group was treated with Taohong Siwu decoction with Fangji Huangqi de-coction on the basis of the conventional group,and both groups were treated for 2weeks.Comparisons were performed on the two groups from the aspects of incidence rate of DVT,lower limb hemodynamic indexes,coagulation indexes,lower limb visual ana-logue scale score(VAS)and limb circumference,and the adverse reactions were recorded during treatment.Results The inci-dence rate of DVT in TCM group was 13.04％,which was lower than 30.43％in conventional group(P＜0.05).After treatment,the flow velocities of the common femoral vein and popliteal vein and prothrombin time(PT)and activated partial thromboplastin time(APTT)were increased in both groups(P＜0.05),and the above indexes in TCM group were higher compared with those in conventional group(P＜0.05).The D-dimer(DD),VAS score and limb circumference in both groups were declined after treat-ment(P＜0.05),and the above indexes in TCM group were lower than those in conventional group(P＜0.05).There were no significant differences in adverse reactions between both groups during treatment(P＞0.05).Conclusion Taohong Siwu decoction with Fangji Huangqi decoction combined with IPC can significantly reduce the occurrence of DVT after thoracolumbar fracture sur-gery,accelerate the lower limb blood flow,improve the coagulation function,and reduce the lower limb swelling degree and pain degree.

Taohong Siwu decoction with Fangji Huangqi decoctionAir pressure wave therapy apparatusAfter thoraco-lumbar fracture surgeryDVTLower limb hemodynamic indexesCoagulation function

张艳、陈小龙、刘静、张秀珍

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安徽中医药大学附属太和中医院,安徽太和 236600

桃红四物汤合防己黄芪汤 空气压力波治疗仪 胸腰椎骨折术后 DVT 下肢血流动力学指标 凝血功能

安徽省科技计划

2204f0804012

2024

四川中医
四川省中医药学会，四川省中西医结合学会，四川省针灸学会，四川省中医药科学院

四川中医

CSTPCD
影响因子：0.522
ISSN：1000-3649
年,卷(期)：2024.42(4)
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