利湿逐瘀汤对膝关节置换术后患者下肢深静脉血栓的预防作用分析
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摘要
目的分析利湿逐瘀汤对膝关节置换术后患者下肢深静脉血栓的预防作用。方法选取我院行膝关节置换术的患者80例,随机分为实验组和对照组各40例。对照组采取指南规范的预防治疗措施,实验组在对照组基础上采用利湿逐瘀汤治疗。比较两组患者的下肢周径差和下肢深静脉血栓发生率。结果术后14 d,两组患者的大腿周径差、小腿周径差均小于术后1 d,且实验组的大腿周径差、小腿周径差均小于对照组(P均<0.05);两组的下肢深静脉血栓发生率比较差异无统计学意义(P>0.05)。结论膝关节置换术后应用利湿逐瘀汤可改善患者的血液高凝状态,对下肢深静脉血栓形成具有预防作用。
Objective To analyze the preventive effect of Lishi Zhuyu decoction on lower extremity deep venous thrombosis of patients after knee replacement. Methods 80 cases of patients with knee replacement in our hospital were selected and randomly divided into experimental group and control group, with 40 cases in each group. The control group was given preventive treatment measures of guideline specification, and the experimental group was given Lishi Zhuyu decoction on the basis of control group. The circumference difference of lower limbs, and the incidence of lower extremity deep venous thrombosis were compared between the two groups. Results 14 d after operation, the thigh circumference difference and calf circumference difference of the two groups were less than those at 1 d after operation,and the thigh circumference difference and calf circumference difference of the experimental group were less than those of the control group(all P <0.05). No statistical difference was found in the incidence of lower extremity deep venous thrombosis between the two groups(P>0.05). Conclusions Lishi Zhuyu decoction after knee replacement can improve the blood hypercoagulability of patients and prevent the formation of lower extremity deep venous thrombosis.
Objective To analyze the preventive effect of Lishi Zhuyu decoction on lower extremity deep venous thrombosis of patients after knee replacement. Methods 80 cases of patients with knee replacement in our hospital were selected and randomly divided into experimental group and control group, with 40 cases in each group. The control group was given preventive treatment measures of guideline specification, and the experimental group was given Lishi Zhuyu decoction on the basis of control group. The circumference difference of lower limbs, and the incidence of lower extremity deep venous thrombosis were compared between the two groups. Results 14 d after operation, the thigh circumference difference and calf circumference difference of the two groups were less than those at 1 d after operation,and the thigh circumference difference and calf circumference difference of the experimental group were less than those of the control group(all P <0.05). No statistical difference was found in the incidence of lower extremity deep venous thrombosis between the two groups(P>0.05). Conclusions Lishi Zhuyu decoction after knee replacement can improve the blood hypercoagulability of patients and prevent the formation of lower extremity deep venous thrombosis.
引文
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[11]白文斌,王凯,韩生寿,等.苦碟子加利伐沙班预防TKA术后下肢深静脉血栓形成及对血液流变学和炎性因子的影响[J].实用骨科杂志, 2016, 22(1):25-27.
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[13]陈美雄,林业武,周理,等.化瘀消肿汤预防人工股骨头置换术后下肢深静脉血栓形成的围手术期临床效能[J].广州中医药大学学报, 2015, 32(6):1011-1016.
[14]朱建国.人工关节置换术后下肢深静脉血栓形成的危险因素分析[J].心血管康复医学杂志, 2014, 23(6):626-630.
[15]王照平,么红英,韩立民,等.自拟通脉汤预防髋关节置换术后下肢深静脉血栓形成的疗效[J].山西医药杂志, 2014, 43(18):2194-2196.
[2]肖超,陈臣,陈荣富.全膝关节置换术后并发下肢深静脉血栓患者血液动力学及流变学改变[J].重庆医学, 2014, 43(23):3083-3085.
[3]唐帅,齐振红,刘硕,等.乌司他丁对双侧全膝关节置换术后凝血功能和下肢深静脉血栓形成的影响[J].临床麻醉学杂志, 2014, 30(4):333-335.
[4]刘旭,姚尧,戎朕,等.全膝关节置换术后下肢深静脉血栓发生的时间分布[J].中国矫形外科杂志, 2015, 23(11):991-995.
[5]虞晓龙,李尊,郑建刚,等.彩色多普勒超声诊断下肢深静脉血栓[J].中国医学影像技术, 2013, 29(1):51-54.
[6]黄中武.运动疗法对人工膝关节置换术后下肢深静脉血栓形成预防的效果观察[J].海南医学院学报, 2016, 22(22):2749-2751.
[7]白波,周璞,陈国栋,等.髋膝关节置换术后预防下肢深静脉血栓形成的方法及其效果与安全性[J].武警医学, 2017, 28(10):65-68.
[8]于时魁.全膝关节置换术后下肢深静脉血栓发生的危险因素[J].中国矫形外科杂志, 2018, 26(8):703-706.
[9]魏圣青,戴燚,贾素珍,等.七厘散加减对髋、膝关节置换术后下肢深静脉血栓的预防效果观察[J].现代中西医结合杂志, 2017, 26(16):1763-1765.
[10]魏星,孙波.中医药对骨科术后下肢深静脉血栓预防的研究进展[J].现代中西医结合杂志, 2014, 23(25):2849-2850.
[11]白文斌,王凯,韩生寿,等.苦碟子加利伐沙班预防TKA术后下肢深静脉血栓形成及对血液流变学和炎性因子的影响[J].实用骨科杂志, 2016, 22(1):25-27.
[12]周方伦,杜英勋,徐国红,等.磺达肝癸钠预防髋膝关节置换术后下肢深静脉血栓形成[J].中国中西医结合外科杂志, 2014, 20(3):257-259.
[13]陈美雄,林业武,周理,等.化瘀消肿汤预防人工股骨头置换术后下肢深静脉血栓形成的围手术期临床效能[J].广州中医药大学学报, 2015, 32(6):1011-1016.
[14]朱建国.人工关节置换术后下肢深静脉血栓形成的危险因素分析[J].心血管康复医学杂志, 2014, 23(6):626-630.
[15]王照平,么红英,韩立民,等.自拟通脉汤预防髋关节置换术后下肢深静脉血栓形成的疗效[J].山西医药杂志, 2014, 43(18):2194-2196.