摘要
目的:观察康脉Ⅱ号胶囊治疗下肢深静脉血栓形成的临床疗效。
方法:选择60例下肢深静脉血栓形成的患者,随机分为2组,治疗组30例,口服康脉Ⅱ号胶囊(由黑龙江中医药大学附属一院药厂生产,其主要成分为蓬子菜、茯苓、黄柏、三棱、莪术、苍术、甘草),一次5粒,一日三次,每粒含生药5克。对照组30例,口服通塞脉片(江苏南星药业有限责任公司生产,48片/盒),一次5片,一日三次。对治疗前后症状、体征,血液流变学,内皮素-1,6-酮-前列腺素F_1α等指标检测。
结果:治疗组30例,总有效率93.33%,对照组30例,总有效率73.33%,6-酮-前列腺素F_1α、内皮素-1,血液流变指标均有不同程度降低,治疗前后症状,体征均有改善,经统计学分析,两组疗效比较有显著性差异。
结论:康脉Ⅱ号胶囊对下肢深静脉血栓形成有良好的治疗作用,且疗效优于通塞脉片。
Objective:To observe and appraise its clinical curative effect synthetically on LDVT treated by Kang MaiⅡcapsule.
Methods:we selected 30 patients treated by Kang MaiⅡcapsule as therapeutic group and other 30 patients treated by Tongsaimai tablet as control group.The symptoms and physical sign,the remark of hemanalysis and ET-1,6-K-PGF_1αwere detacted before treatment group.
Results:The therapeutic group total effective rate was 93.33%,while the control group total effective rate was 73.33%,with statistics analysis, the different between the two groups was significant.
Conlusion:We can draw a conclusion that Kang MaiⅡcapsule plays a positive role in the treatment of LDVT,and there is more effctive than Tongsaimai tablet.
引文
[1]李令根等.下肢深静脉血栓形成临床分型讨论[J].中华医学研究杂志,2001;1(1):47-49.
[2]刘明,程志新,侯玉芬.中西医结合治疗迁延期下肢深静脉血栓形成72例临床观察[J].北京中医,2006,25(2):70-71
[3]张跃强.中西医结合治疗下肢深静脉血栓形成临床体会[J].中国民间疗法,2008,(3):43-44
[4]陈秀玲.中西医结合治疗下肢深静脉血栓形成48例[J].中国中西医结合外科杂志,2007,13(4):399-400
[5]黄贵熙.中西医结合治疗下肢深静脉血栓形成31例[J].广西中医药,2003,26(2):29
[6]王健,李维军.中西医结合治疗下肢深静脉血栓形成42例疗效观察[J].新中医,2005,37(7):65-66
[7]李运元.中西医结合治疗下肢深静脉血栓形成44例临床观察[J].中医药导报,2006,12(12):45-46
[8]高峰,穆晓红.中西医结合治疗下肢深静脉血栓形成56例临床观察[J].四川中医,2007,25(8):90-91
[9]周翠红,杨林.中西医结合治疗下肢深静脉血栓形成的临床观察[J].辽宁中医杂志,2007,34(9):1233-1234
[10]方俐.中西医结合治疗下肢深静脉血栓形成46例[J].山西中医,2002,18(2):39
[11]阴广先,张淑芳,孙忠举.中西医结合治疗下肢深静脉血栓形成28例疗效分析[J].工企医刊,2003,16(2):46-47
[12]陈辉.中西医结合治疗下肢深静脉血栓形成48例[J].中国中医急症,2006,15(1):7
[13]彭宏,王化京.中西医结合治疗下肢深静脉血栓形成36例[J].国医论坛,2007,22(1):29-30
[14]张练,杜丽苹.中西医结合治疗下肢深静脉血栓形成231例[J].山东中医杂志,2003,22(6):358-359
[15]秦有,麦秀钧,陈经宝,等.中西医结合治疗下肢深静脉血栓形成68例疗效观察[J].四川中医,2008,26(8):100-101
[16]杜全胜,张建强.中西医结合分期治疗下肢深静脉血栓形成48例[J].河北医药, 2000,22(6):467-468
[17]王朝生,刘昌华,田诗政,等.中西医结合治疗下肢深静血栓30例[J].湖北中医杂志,1999,21(4):162-163
[18]张延杰,王 红.中西医结合治疗下肢深静脉血栓形成28例临床观察[J].山东医药,2000,40(14):61
[19]荆淑红,张丽.中西医结合治疗下肢深静脉血栓形成45例[J].中国中医药信息杂志,2004,11(6):535-536
[20]侯玉芬,陈柏楠.中西医结合治疗下肢深静脉血栓形成311例分析[J].医学研究通讯,1997,26(3):39-41.
[21]李晨,等.针灸治疗下肢血栓性深静脉炎案[J].中国针灸,1996,16(10):31
[22]潘进社,李玲,朱燕彩.理疗对骨折并下肢血栓性静脉炎的治疗作用[J].河北医科大学学报,1997,18(4):230.
[23]牛晓,吕陪文.葛根素注射液治疗下肢深静脉血栓后综合征临床疗效[J].中国新药杂志,1999,8(11):759.
[24]王静,范吾凤.中药外敷治疗下肢深静脉血栓形成30例[J].中医外治杂志,2002,11(3):11.
[25]孙平良,唐乾利,张力,等.熏洗疗法在下肢深静脉血栓形成中的应用[J].中国中医药信息杂志,2006,13(6):75-76
[26]荆淑红.活血消肿散辅助治疗下肢深静脉血栓形成52例[J].山东中医杂志,2004,23(6):346-347.
[27]邱德健.中西医结合治疗下肢深静脉血栓形成25例[J].浙江中西医结合杂志,2000,10(4):231.
[28]王凤莲,李玉幸,王湃.下肢深静脉血栓形成的病因探讨[J].宁夏医学杂志,1999,21(4):213-214
[29]徐浩,祖茂衡,顾玉明,等.髂股深静脉血栓形成相关解剖研究及经颈静脉介入治疗[J].介入放射学杂志,1997,6(3):130-132.
[30]赵军,董国祥.左髂总静脉狭窄与急性下肢深静脉血栓形成[J].中华外科杂志,1998,36(1):12-14.
[31]S.K.klein,E.J.slim,M.D de kruif,et al.Is chronic HIV infection associated with venous thrombotic disease? A systematic review.The NewEngland journal of medicine, 2005,63:129.
[32]王振义.血液的凝固和抗凝.见:兰锡纯主编.心脏血管外科学.下册[M].第1版.北京:人民卫生出版社,1984:45.
[33]薛冠华.静脉血栓形成与抗活化蛋白C现象.国外医学外科学分册,2000,27:91.
[34]侯玉芬,张玥,程志新,等.下肢深静脉血栓形成320例病因分析[J].中国中西医结合外科杂志,2006,12(3):214-215
[35]Kremer hoovingaJa,Baerlocher G,Wuillemin Wa,Solenthaler M,eral.Deep venous thrombosis of the leg in acquired thrombophilia-hyperhomocysteinemia as a sequela of undetected celiacdisease Therumsch 1999,56(9):519
[36]Yoshizako T,Sagimura K,Kawamitsu H,et al·Two-dimentional time-of-flight MR venography:assessment with detection of chronic deep venous thrombosis in combination transfer contrast[J].Comput Assist Tomogr,1996,20(6):957-964
[37]卢明书,王豪夫.急性下肢深静脉血栓形成的诊断进展[J].国外医学.外科学分册,2005,32(1):60-62
[38]Moody AR,Pollock JG,O'Connor AR,et al·Lower limbs deep venous thrombsis:direct MR imaging of the thrombus[J].Radiology,1998,209(2):349-355.
[39]Frazer DG,Moody AR,Morgan PS·Diagnosis of lower-limbdeep venous thrombosis:a prospective blinded study of magnetic resonance direct thrombosis imaging[J]·Ann InternshipMed,2002,136(2):89-95.
[40]邹丽芳,杨景文,胡余,等.血小板活化在下肢深静脉血栓形成中的临床意义[J].上海第二医科大学学报,1997,17(2):111-113.
[41]郭永亮.D-二聚体与恶性肿瘤.[J].临床血液学杂志,1999,12(2):95
[42]杨景文,胡余,侯福祥,等.全血粘度、红细胞弹性和触变性在下肢深静脉血栓形成发病机理[J].医用生物力学,1995,10(4):201-204.
[43]施仲伟,龚兰生.下肢深静脉血栓形成的临床诊断价值及危险因素[J].心肺血管病杂志,1994,13(3):137-138.
[44]Steven F,Millward J,Grassi B,et al.Reporting Standards for Inferior Vena Caval Filter Placeement and Patient Follow-up:Supplement for Temporary and Retrievable/optional Filters[J]J Vase Interv Radiol,2005;16:441-443
[45]FiosinserJN,Huisman MV,Davidson BL,et al,Ximellagatran vs Low-molecular- weight heprin and warfarin for the treatment of deep Vein thrombosis:a randomized trial[J]JAM,2005;293(6):681-689.
[46]Light E,Denise k.Fondarinux for thromboembolic treatment and prophylaxis Of heprin included thrombocytopenia[J]Ann Pharmacother,2006;40:1383-1387
[47]Prandoni P Emerging strategies for treatment of venous thrmboembolism.[J]Expert Opin Emeg Drugs,2005;10(1):87-94
[48]唐振宇,达嗄.肢体深静脉血栓形成的诊治[J].青海医学院学报,1997,18(1):55
[49]吴在德,郑树.主编.外科学[M].第5版,北京:人民卫生出版社,2000.689-962
[50]董国祥.急性下肢深静脉血栓形成的手术治疗[J].中国实用外科杂志,2003;23(4):210-211.
[51]刘勇,裴国献,姚旺祥,等.下肢深静脉血栓形成后综合征手术治疗方法探讨[J].实用医学杂志,2006,22(8):932-933.
[52]Puggioni A,Kistner RL,Eklof B,et al.Surgical disobliteration of postthrombotic deep veins-endophle-beetomy-is feasible[J].J Vase Surg,2004,39(5):1048-1052
[53]Mivahara T,Mivata T,Shigematsu K,et al.Clinical outcome and complications of temporary inferior vena eava filter placement.
[54]Houry D,southall J,Manning M,ET,AL.Use of the Amplatz thrombectomy device for severe deep venous thrombosis[J]south med J,1999;92(9):915-921
[55]王健,奚九一.张柏根.清营Ⅰ号对深静脉血栓形成形态学演变的实验研究[J].中国中西医结合杂志,2003,9(2):116-117
[56]Busch C.Identification in vitro of an endothelial cell surface cofactor antithrombin Ⅲ[J].Clin Invest,1982,69:726
[57]金星,秦红松,尚德俊.中西医结合治疗下肢深静脉血栓形成206例临床观察[J].中国中西医结合杂志,1997,17(5):267-270.
[58]刘政,侯玉芬,周黎丽,等.消栓通脉合剂对深静脉血栓形成纤溶功能的影响[J].中国中西医结合外科杂志,2000,6(1):31-33
[59]陈淑长.主编.中医血管外科学[M].北京:中国医药科技出版社,1993:204.
[60]Vanhotte PM.Endothelial dysfunction and atherosclerosis.EurHeart 1997;18(Supple):E19-E29
[61]盛民主.血管内皮细胞与疾病[M].上海.上海医科大学出版,1993:30-31
[62]葛金文.血管内皮细胞功能相关指标在TAO辨证中的变化及意义[J].湖南中医学院学报1992,12(4):51