益气活血通络汤配合康复训练防治髋关节置换术后下肢深静脉血栓形成临床研究  被引量:5

Clinical Study on Yiqi Huoxue Tongluo Tang Combined with Rehabilitation Training in Preventing and Treating Deep Venous Thrombosis of Lower Extremity After Hip Replacement

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作  者:田可为 陈柯 范克杰 马文龙 TIAN Kewei;CHEN Ke;FAN Kejie;MA Wenlong

机构地区:[1]河南省洛阳正骨医院(河南省骨科医院),河南洛阳471002

出  处:《新中医》2020年第18期92-95,共4页New Chinese Medicine

基  金:河南省中医药科学研究专项课题(2018ZY2160)。

摘  要:目的:观察益气活血通络汤配合康复训练防治髋关节置换术后下肢深静脉血栓(DVT)形成的临床疗效。方法:选择本院行髋关节置换术治疗的患者共78例,按随机数字表法将其分为治疗组40例与对照组38例。对照组在术后给予常规的康复训练干预,治疗组在术后给予益气活血通络汤配合康复训练治疗,连续治疗2周后,检测2组血小板及凝血指标的变化,评估其髋关节功能水平并根据是否有DVT形成判定临床疗效。结果:临床疗效总有效率治疗组87.50%,高于对照组63.16%,差异有统计学意义(P<0.05);治疗后,2组血小板计数(BPC)、纤维蛋白原(FIB)水平较治疗前下降,2组凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)水平较治疗前上升,且治疗组BPC、PT、FIB、APTT水平改善明显优于对照组(P<0.05);治疗后,2组髋关节功能评分(Harris评分)较治疗前上升,治疗组Harris评分上升明显大于对照组,差异均有统计学意义(P<0.05)。结论:在髋关节置换术后行益气活血通络汤配合康复训练治疗可降低DVT的形成,并改善患者凝血功能及髋关节功能。Objective: To observe the clinical effect of the therapy of Yiqi Huoxue Tongluo tang combined with rehabilitation training on the prevention and treatment of deep vein thrombosis(DVT) of lower extremity after hip replacement.Methods:A total of 78 patients who underwent hip replacement in our hospital were selected and randomly divided into the treatment group(40 cases) and the control group(38 cases). After surgery,the control group was given routine rehabilitation training and intervention,and the treatment group was treated with Yiqi Huoxue Tongluo tang combined with rehabilitation training. After continuous observation for two weeks,changes in indexes concerning platelet and coagulation were detected in the two groups;hip joint function was evaluated and clinical effect was determined based on whether DVT was formed or not. Results:The total effective rate was 87.50% in the treatment group,higher than that of 63.16% in the control group,the difference being significant(P<0.05). After treatment,the levels of blood platelet count(BPC) and Fibrinogen(FIB) in both groups were decreased when compared with those before treatment,while the levels of prothrombin time(PT) and activated partial thromboplastin time(APTT) were increased;the improvement of the above levels in the treatment group was significantly better than that in the control group(P<0.05). After treatment, the Harris scores in the two groups were increased when compared with those before treatment, and the increase of Harris score in the treatment group was significantly larger than that in the control group(P<0.05). Conclusion: After hip replacement, the therapy of Yiqi Huoxue Tongluo tang combined with rehabilitation training can reduce the formation of DVT, which can improve the abnormal coagulation system and hip joint function of patients.

关 键 词:下肢深静脉血栓 髋关节置换术后 康复训练 益气活血通络汤 血小板计数 纤维蛋白原 凝血酶原时间 活化部分凝血活酶时间 

分 类 号:R364.15[医药卫生—病理学]

 

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