活血化瘀方联合外科手术治疗急性肢体动脉栓塞疗效观察  

Therapeutic Effect of Huoxue Huayu Recipe Combined with Surgical Treatment for Acute Arterial Thrombosis of Limbs

作　　者：李美素 何杨青 

机构地区：[1]富阳市人民医院五官科,浙江富阳311400 [2]富阳市人民医院泌尿外科,浙江富阳311400

出　　处：《新中医》2015年第5期133-135,共3页New Chinese Medicine

摘　　要：目的:观察活血化瘀方联合外科手术治疗急性肢体动脉栓塞的临床疗效。方法:将急性肢体动脉栓塞患者80例随机分为2组各40例,对照组给予Fogarty导管取栓术,观察组在对照组的基础上加用活血化瘀方治疗,观察2组临床疗效。结果:总有效率观察组为90.5%,对照组为73.7%,2组比较,差异有统计学意义(P<0.05)。随访观察半年,患肢动脉再栓塞发生率观察组为9.5%,对照组为34.2%,2组比较,差异有统计学意义(P<0.05)。2组患者均未出现患肢缺血坏死、截肢等并发症。结论:采取活血化瘀方联合外科手术治疗急性肢体动脉栓塞,可提高临床效果,减少患肢动脉再栓塞,值得临床推广应用。Objective： To observe the clinical effect of Huoxue Huayu Recipe combined surgical treatment for acute arterial thrombosis of limbs. Methods： Eighty qualified patients were randomly divided into two groups. The control group was given Fogarty embolectomy catheter, and the observation group received Huoxue Huayu Recipe on the basis of treatment for the control group. Clinical effect was observed in both groups. Results The total effective rate was 90.5% in the observation group, and was 73.7% in the control group, the difference being significant （P 〈 0.05）. After half a year of follow-up, the arterial thrombosis recurrence rate was 9.5% in the observation group, and was 34.2% in the control group, the difference being significant（P 〈 0.05）. No avascular necrosis or amputation of the affected limb was found in both groups. Conclusion： Huoxue Huayu Recipe combined surgical treatment for acute arterial thrombosis can improve the clinical effect and reduce the recurrence of limb arterial thrombosis, showing good prospects in clinical application.

关 键 词：急性肢体动脉栓塞 中西医结合疗法 外科手术 活血化瘀方 

分 类 号：R543.5[医药卫生—心血管疾病]