低分子肝素钙联合疏血通治疗急性下肢深静脉血栓疗效观察

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1、低分子肝素钙联合疏血通治疗急性下肢深静脉血栓疗效观察摘要目的：观察低分子肝素钙联合疏血通治疗下肢深静脉血栓的临床效果。方法：将76例患者分为低分子肝素钙联合疏血通注射液的治疗组（简称治疗组），和单独低分子肝素钙治疗组（对照组）。评估患者治疗后临床疗效的改善情况。结果：干预后，治疗组痊愈14例，显效20例，无效4例，总有效率为89.47%；对照组痊愈12例，显效17例，无效9例，总有效率为76.32%o两组总有效率比较，治疗组优于对照组，差异具有统计学意义（P〈0.05）。结论：低分子肝素钙联合疏血通治疗下肢深静脉血栓疗效确切，可增加局部血栓处的血

2、液灌注，防止病情进展。关键词下肢深静脉血栓形成低分子肝素疏血通疗效中图分类号：R654.3文献标识码：A文章编号：1006-1533（2012）20-0033-03ClinicalobservationoftheefficacyofthelowmolecularweightheparincombinedwithShuXueTonginthetreatmentoftheacutedeepvenousthrombosisofthelowerlimbsGAOLei,GUODa-qiao,YANHua(1.HuajingCommunityHealthSe

3、rviceCenterinXuhuiDistriet，Shanghai200231,China；2.ZhongshanHospital,FudanUniversity,Shanghai200032,China)ABSTRACTObjective:ToobservetheclinicalefficacyofthelowmolecularweightheparincalciumcombinedwithShuXieTonginthetreatmentofthedeepvenousthrombosisofthelowerlimbs・Method：Seve

4、ntysixpatientsweredividedintothelowmolecularweightheparincalciumcombinedwithShuXieTonginjectiontreatmentgroup(treatmentgroup)，andlowmolecularweightheparincalciumtreatmentgroup(controlgroup)accordingtotheprincipleofrandomizedcontro1.Thepatientswereevaluatedwiththeclinicaleffic

5、acyandclottingindeximprovement・ResuIt:Afterintervention,inthetreatmentgroup14caseswerecured,20caseswereimprovedeffectivelyand4caseshadnoefficacy,inwhichthetotaleffectiveratewas89.47%.Inthecontrolgroup12caseswerehealed,17casesweremarkedlyimproved,and9casesfailed,inwhichtotalef

6、fectiveratewas76.32%.Tocomparethetwogrouptotaleffectiveness，theefficacyofthetreatmentgroupwasmoresuperiorthanthatofthecontrolgroupandthedifferencehadstatisticalsignificance(P<0.05)・Conclusion：LowmolecularweightheparincalciumcombinedwithShuXieTongforthetreatmentofthedeepvenous

7、thrombosisofthelowerlimbsnotonlyhasdefinitetreatmentefficacy,butalsoincreasesbloodperfusiontothelocalbloodclotsforpreventingthediseaseprogressionfurther.KEYWORDSdeepveinthrombosisofthelowerlimbs；lowmolecularweightheparin；；ShuXieTong；efficacy下肢深静脉血栓形成(Deepveinthrombosis,DVT)属于

8、临床常见疾病之一，主要临床表现为单侧下肢的突然肿胀。近年来，该病的发病率在我国呈现不断上升的趋势，患者若急性期治疗不及时，极易引发肺栓塞