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八味饮辅治静脉炎综合征临床观察

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目的:观察八味饮辅治静脉炎综合征的效果.方法:60例随机分为观察组与对照组各30例.两组均用西药治疗,观察组加用八味饮治疗.结果:总有效率观察组高于对照组(P<0.05).治疗后两组下肢静脉超声、足靴区色素沉着、疼痛、皮肤红肿评分均降低,且观察组低于对照组(P<0.05).治疗后两组血浆黏度、全血粘度低切变率、全血粘度高切变率均降低,且观察组低于对照组(P<0.05).治疗后两组血小板计数(PLT)水平均降低且观察组高于对照组(P<0.05)而国际标准化比值(INR)、活化部分凝血活酶时间(APTT)水平均升高(P<0.05)且观察组低于对照组(P<0.05).治疗前后两组总胆红素(total bilirubin,TBIL)、血肌酐(Scr)、尿素氮(BUN)水平变化组间比较无明显差异(P>0.05).结论:八味饮辅治静脉炎综合征疗效较好,且对肝肾功能无明显不良影响.
Objective:To observe the effect of Bawei Decoction as an adjuvant therapy in the treatment of phlebitis syndrome.Methods:Sixty patients were randomly divided into an observation group and a control group,with 30 patients in each group.Both groups received conventional Western medical treatment,and the observation group additionally received Bawei Decoction.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the scores of lower extremity venous ultrasound,foot boot area pigmentation,pain and skin redness and swelling in the two groups decreased,and those in the observation group were lower than the control group(P<0.05).After treatment,the plasma viscosity,low shear rate of whole blood viscosity and high shear rate of whole blood viscosity in the two groups decreased,and those in the observation group were lower than the control group(P<0.05).After treatment,the levels of platelet count(PLT)in the two groups decreased and those in the observation group were higher than the control group(P<0.05),while the levels of international normalized ratio(INR)and activated partial thromboplastin time(APTT)increased(P<0.05)and those in the observation group were lower than the control group(P<0.05).There was no significant difference in the levels of total bilirubin(TBIL),serum creatinine(Scr)and urea nitrogen(BUN)between the two groups before and after treatment(P>0.05).Conclusion:Bawei Decoction shows good efficacy in adjuvant treatment of phlebitis syndrome and has no significant adverse effects on liver and kidney function.

Phlebitis syndromeBawei DecoctionControl treatment and observation

任青松、任亚飞、郭兴蕊

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北京中医药大学东直门医院洛阳医院周围血管科,河南 洛阳 471000

静脉炎综合征 八味饮 对照治疗观察

2024

实用中医药杂志
重庆医科大学中医药学院

实用中医药杂志

影响因子:0.546
ISSN:1004-2814
年,卷(期):2024.40(10)