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《补阳还五汤联合低分子肝素钙注射液治疗剖宫产术后下肢深静脉血栓形成临床研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·40ChineseJournaIOfInformationonTCMApr.2014VoI.21No.4补阳还五汤联合低分子肝素钙注射液治疗剖宫产术后下肢深静脉血栓形成临床研究殷桂兰’,王东雁1,丁俊,刘玉凤1,王彩虹1.酒泉市人民医院,甘肃酒泉735000;2.酒泉市疾病预防控制中心,甘肃酒泉735000摘要:目的观察补阳还五汤联合低分子肝素钙注射液治疗剖宫产木后下肢深静脉血栓(DVT)形成患者的效果。方法选取剖宫产术后DVT形成患者76例,随机分为2组。对照组36例,予低分子肝素钙注射液,100AXa
2、lU/kg,皮下注射,每日2次:治疗组4O例,在对照组治疗基础上予补阳还五汤。观察治疗前后临床症状、体征及全血高切黏度(HBV)、全血低切黏度(LBV)、血浆黏度(PV)、纤维蛋白原(FIB)、血小板(PLT)、部分凝血活酶时间(APTT)、凝血酶时间(TT)、凝血酶原时间(PT)及阻抗容积波图指标、彩色多普勒血流显像(CDFI)。结果治疗后治疗组总有效率为97.5%(39/40),对照组为77.8%(28/36),差异有统计学意义(P3、波图指标治疗前后比较,差异有统计学意义(PO.05)。治疗期间未发生不良反应。结论补阳还五汤联合低分子肝素钙注射液治疗剖宫产术后DVT形成安全有效。关键词:补阳还五汤:低分子肝素钙注射液;深静脉血栓形成:中西医结合疗法D0I:10.3969/j.issn.1005—5304.2014.04.013中图分类号:R271.944.6文献标识码:A文章编号:1005—5304(2014)040040—03ClinicalStud4、yofBuyangHuanwuDecoctionCombinedwithLowMolecularWeightHeparinCalciuminTreatingDeepVenousThrombosisinLowerLimbafterCesareanSectionYINGui-lan,WANGDong—yan,DINGJun,LIUYu—feng,WANGCai-hong。(People'sHospitalofJiuquanCity,Jiuquan735000,China:2.JiuquanMunicipalCe5、nterforDiseaseCon~oLJiuquan735000.China)Abstract:ObjectiveToobservethetreatmenteffectofBuyangHuanwuDecoctioncombinedwithlowmolecularweightheparincalciuminjectionintreatingdeepvenousthrombosis(DVT)inlowerlimbaftercesareansection.MethodsSeventy—sixcasesofDVT6、aftercesareanwererandomlydividedinto2groups.Thirty—sixcasesofcontrolgroupwereinjectedlowmolecularweightheparincalciumsubcutaneously100AXalU/kgtwicedaily,andfortycasesoftreatmentgroupweretreatedwithBuyangHuanwuDecoctionadditionally.Afteranalysingtheclinical7、symptomsandsignbeforeandaftertreatment,HBV,LBV,PV,FIB,PL,T,A丌,1vr,PTandindexesofimpedanceplethysmography,CDF1wereobservedtoevaluatetheeficacy.ResultsAftertreatment,thetotaleffectiverateoftreatmentgroupwas97.5%(39/40),andthecontrolgroupwas77.8%(28/36),thedi8、fferencewasstatisticallysignificant(P<0.05).Thedifferencesofhemorheologicalindexes(HBV,LBV,PV,FIB)andimpedanceplethysmographyindexesbetweenbeforeandaftertreatmentintreatmentgroupwerestatisticallysignificant(P
3、波图指标治疗前后比较,差异有统计学意义(PO.05)。治疗期间未发生不良反应。结论补阳还五汤联合低分子肝素钙注射液治疗剖宫产术后DVT形成安全有效。关键词:补阳还五汤:低分子肝素钙注射液;深静脉血栓形成:中西医结合疗法D0I:10.3969/j.issn.1005—5304.2014.04.013中图分类号:R271.944.6文献标识码:A文章编号:1005—5304(2014)040040—03ClinicalStud
4、yofBuyangHuanwuDecoctionCombinedwithLowMolecularWeightHeparinCalciuminTreatingDeepVenousThrombosisinLowerLimbafterCesareanSectionYINGui-lan,WANGDong—yan,DINGJun,LIUYu—feng,WANGCai-hong。(People'sHospitalofJiuquanCity,Jiuquan735000,China:2.JiuquanMunicipalCe
5、nterforDiseaseCon~oLJiuquan735000.China)Abstract:ObjectiveToobservethetreatmenteffectofBuyangHuanwuDecoctioncombinedwithlowmolecularweightheparincalciuminjectionintreatingdeepvenousthrombosis(DVT)inlowerlimbaftercesareansection.MethodsSeventy—sixcasesofDVT
6、aftercesareanwererandomlydividedinto2groups.Thirty—sixcasesofcontrolgroupwereinjectedlowmolecularweightheparincalciumsubcutaneously100AXalU/kgtwicedaily,andfortycasesoftreatmentgroupweretreatedwithBuyangHuanwuDecoctionadditionally.Afteranalysingtheclinical
7、symptomsandsignbeforeandaftertreatment,HBV,LBV,PV,FIB,PL,T,A丌,1vr,PTandindexesofimpedanceplethysmography,CDF1wereobservedtoevaluatetheeficacy.ResultsAftertreatment,thetotaleffectiverateoftreatmentgroupwas97.5%(39/40),andthecontrolgroupwas77.8%(28/36),thedi
8、fferencewasstatisticallysignificant(P<0.05).Thedifferencesofhemorheologicalindexes(HBV,LBV,PV,FIB)andimpedanceplethysmographyindexesbetweenbeforeandaftertreatmentintreatmentgroupwerestatisticallysignificant(P
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