血管腔内成形术联合通冠胶囊治疗下肢动脉硬化闭塞症的近期疗效  

Short-term effect of transluminal angioplasty combined with Tongguan capsule on arteriosclerosis obliterans

作　　者：刘文导 黄准 孟凡喆 陈捷晗 张敏州 常钢 蔡炳勤 LIU Wendao;HUANG Zhun;MENG Fanzhe;CHEN Jiehan;ZHANG Minzhou;CHANG Gang;CAI Bingqin(Department of Interventional Radiology,the Second School of Clinical Medicine,Guangzhou University of Chinese Medicine(Guangdong Provincial Hospital of Traditional Chinese Medicine),Guangzhou 510120,China)

机构地区：[1]广州中医药大学第二临床医学院(广东省中医院)介入科

出　　处：《实用医学杂志》2019年第16期2649-2653,共5页The Journal of Practical Medicine

基　　金：广东省科技计划项目(编号：2017ZC0199)

摘　　要：目的观察动脉血管腔内成形术联合通冠胶囊治疗下肢动脉硬化闭塞症(arteriosclerosis obliterans,ASO)患者的近期临床疗效。方法60例ASO患者均接受下肢动脉血管腔内成形术,治疗组30例口服通冠胶囊,对照组30例未服用通冠胶囊,观察术后患者疼痛改善情况、下肢血运改善情况及随访1、3、6个月患者生存质量及血管再狭窄率。结果治疗组与对照组对比,术后1、3、6个月踝臂指数比较差异有统计学意义(P<0.05),术后3、6个月血管通畅率比较差异有统计学意义(P<0.05),术后3、6个月疼痛症状比较差异有统计学意义(P<0.05)。结论动脉血管腔内成形术联合通冠胶囊对于治疗ASO疗效确切,可提高患者生存质量,值得临床推广。Objective To observe the short-term effect of transluminal angioplasty combined with Tongguan capsule in the treatment of arteriosclerosis obliterans(ASO).Methods Sixty patients with ASO who received transluminal angioplasty were enrolled and divided into treatment group with oral administration of Tongguan capsule(n=30)and control group(n=30).The improvement of postoperative pain and lower limb blood supply were observed.The quality of life and vascular restenosis rate 1 month,3 and 6 months after the treatment were followed up.Results Compared with that in the control group,the ankle brachial index in the treatment group 1,3 and 6 months after the surgery was lower(P<0.05);the patency of vessel in the treatment group 3 and 6 months after the surgery was better(P<0.05)and postoperative pain in the treatment was improved(P<0.05).Conclusions Transluminal angioplasty combined with Tongguan capsule is beneficial to the treatment of ASO and could improve patients′quality of life.

关 键 词：血管腔内成形 通冠胶囊 下肢动脉硬化闭塞症 血管通畅率 疼痛缓解率 保肢率 

分 类 号：R654.4[医药卫生—外科学]