补阳还五汤预防老年股骨粗隆间骨折外支架术后DVT的形成  

Prevention of DVT formation following elderly intertrochanteric fracture outside stent implantation with the Buyang Huanwu decoction

作　　者：吴天然[1] 陈夏平[1] 李铭雄[1] 陈王[1] 孔祥标[1] 张细祥 苏源冰 

机构地区：[1]福建中医药大学附属泉州市正骨医院,福建泉州362000

出　　处：《中医临床研究》2015年第2期4-6,共3页Clinical Journal Of Chinese Medicine

基　　金：泉州市卫生局科研资助项目;编号:2010(526)

摘　　要：目的:探讨补阳还五汤预防老年股骨粗隆间骨折外支架术后DVT形成的临床疗效。方法:将70例老年股骨粗隆间骨折外支架术后患者随机分为治疗组、对照组各35例。治疗组采用补阳还五汤口服,对照组采用皮下注射LMWH进行预防DVT。比较治疗后各组患者股静脉血流速度、PT、APTT及DVT发生率,探讨其疗效;通过比较HGB、PLT及术后针眼渗血量指标变化的差异,探讨其安全性。结果:两组患者PT、APTT及DVT发生率无明显差异,而治疗组在股静脉血流速度、HGB、PLT及术后针眼渗血量指标明显优于对照组。结论:补阳还五汤可有效预防老年股骨粗隆间骨折外支架术后DVT的形成,且安全性高。Objective： To discuss clinical effects of the Buyang Huanwu decoction on preventing DVT formation following elderly iatertrochanteric fracture outside stent implantation. Methods： 70 patients were randomly divided into the treatment group and the control group, 35 cases for each. The treatment group was given the Buyang Huanwu decoction, while the control group was given subcutaneous LMWH, Femoral vein blood flow velocity, PT, APTT and the incidence of DVT were compared, and safety was evaluated by comparing the differences in HGB, PLT and amount of postoperative pinprick bleeding. Results： There were no significant difference in PT, APTT and the incidence of DVT, while index of femoral vein blood flow velocity, HGB, PLT and amount of postoperative pinprick bleeding in the treatment group were obviously better than those in the control. Conclusion： The Buyang Huanwu decoction could prevent DVT formation following elderly intertrochanteric fi＇acture outside stent implantation effectively with high safety.

关 键 词：老年 股骨粗隆间骨折 DVT 预防 

分 类 号：R543.6[医药卫生—心血管疾病]