首页|大隐静脉高位结扎抽剥术联合地奥司明治疗下肢静脉曲张的疗效分析

大隐静脉高位结扎抽剥术联合地奥司明治疗下肢静脉曲张的疗效分析

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目的 分析大隐静脉高位结扎抽剥术联合地奥司明治疗下肢静脉曲张患者的疗效。方法 选取 2022 年~2023 年收治的 140 例下肢静脉曲张患者为研究对象,根据随机数字表法分为两组,对照组(70 例)采用大隐静脉高位结扎抽剥术治疗,研究组(70 例)采用大隐静脉高位结扎抽剥术联合地奥司明治疗。比较两组血常规与C反应蛋白(CRP)、凝血功能、不良反应,评价临床疗效。结果 治疗前两组白细胞计数(WBC)、中性粒细胞比例、CRP水平差异无统计学意义(P>0。05),治疗后研究组WBC、中性粒细胞比例、CRP水平低于对照组(P<0。05);研究组总有效率高于对照组(P<0。05);治疗前两组凝血酶原时间(PT)、D-二聚体(D-D)、纤维蛋白原(FIB)、部分凝血活酶活化时间(APTT)水平差异无统计学意义(P>0。05),治疗后研究组PT、APTT高于对照组,D-D、FIB低于对照组(P<0。05);两组总不良反应发生率差异无统计学意义(P>0。05)。结论 大隐静脉高位结扎抽剥术联合地奥司明治疗下肢静脉曲张效果较好,可改善患者凝血功能,降低患者体内炎症因子水平,且具有较高的安全性。
Therapeutic effect analysis of great saphenous vein high ligation and exfoliation combined with diossmin in the treatment of lower extremity varicose veins
Objective To analyze the efficacy of great saphenous vein high ligation and exfoliation combined with diossmin in the treatment of lower extremity varicose veins.Methods 140 patients with lower extremity varicose veins in a hospital from 2022 to 2023 were selected as the study objects.According to the random number table method,they were divided into two groups,the control group(70 cases)was treated with great saphenous vein high ligation and exfoliation,and the study group(70 cases)was treated with great saphenous vein high ligation and exfoliation combined with diossmin.The routine blood test,C-reactive protein(CRP),coagulation function and adverse reactions were compared between the two groups to evaluate the clinical efficacy.Results There were no significant difference in white blood cell count(WBC),neutrophil proportion and CRP level between the two groups before treatment(P>0.05).After treatment,WBC,neutrophil proportion and CRP level in the study group were lower than those in the control group(P<0.05).The total effective rate of the study group was higher than that of the control group(P<0.05).There were no significant difference in PT,D-D,FIB and APTT levels between the two groups before treatment(P>0.05).After treatment,PT and APTT levels in the study group were higher than those in the control group,and D-D and FIB levels were lower than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Great saphenous vein high ligation and exfoliation combined with diossmin is effective in the treatment of lower extremity varicose veins,which can improve the coagulation function of patients,reduce the level of inflammatory factors in patients,and with high safety.

Lower extremity varicose veinsGreat saphenous vein high ligation and exfoliationDiossminTherapeutic effect analysis

刘世程、陈世伟、孟路阳

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杭州市第三人民医院血管外科,杭州 310009

下肢静脉曲张 大隐静脉高位结扎抽剥术 地奥司明 疗效分析

杭州市生物医药和健康产业发展扶持科技专项

2021WJCY154

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(8)