首页|静脉血栓方预防全膝关节置换术后下肢深静脉血栓临床疗效观察

静脉血栓方预防全膝关节置换术后下肢深静脉血栓临床疗效观察

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目的:探讨静脉血栓方预防全膝关节置换术后下肢深静脉血栓产生的临床疗效.方法:收集 2023 年 1 月~6 月行全膝关节置换患者 110 例,随机分为对照组及治疗组各 55 例.监测患者术前及术后患肢周径差、凝血指标(APTT、PT、TT、INR、FIB、DD)及炎性指标(CRP、IL-6),行下肢彩色多普勒超声检查及安全性评估.结果:治疗组与对照组术后大腿及小腿周径变化值差异有统计学意义(P<0.05).治疗组与对照组术后APTT、PT、DD比较,差异均有统计学意义(P<0.05).治疗组患者术后发生下肢深静脉血栓率低于对照组.结论:静脉血栓方能快速缓解全膝关节置换术后患肢肿胀、改善血液高凝状态及减轻术后炎症反应.
Efficacy observation of Jingmaixueshuan decoction on deep venous thrombosis after total knee arthroplasty operation
Objective:To observe the clinical efficacy of modified Jingmaixueshuan(JMXS)decoction on deep veinous thrombo-sis after total knee arthroplasty.Methods:110cases of patients with knee osteoarthritis after total knee arthroplasty were randomly di-vided into treatment group and control group,55cases in each group.Peripheral diameter difference of affected limb and coagulation indicator(APTT,PT,TT,INR,FIB,DD)and inflammatory indicators(CRP,IL-6)were used to examine before and after treat-ment.The lower limb color doppler ultrasound were examined and drug safety were evaluated.Results:There was a statistically signifi-cant difference in postoperative changes in thigh and calf circumference between treatment group and control group(P<0.05).The value of APTT,PT and DD was higher in treatment group than in control group(P<0.05).The postoperative complications of lower limb venous thrombosis in treatment group were lower than those in control group.Conclusion:JMXS can quickly alleviate swelling in the affected limb after total knee arthroplasty,improve blood hypercoagulability and alleviate postoperative inflammatory reactions.

Jingmaixueshuan decoctionTotal knee arthroplastyDeep vein thrombosisD-Dimer

段小云、仲瑞雪、王苗、白雨鑫、吴传红、季欧

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四川省骨科医院,四川 成都 610041

静脉血栓方 全膝关节置换 深静脉血栓 D-二聚体

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(12)