下腔静脉滤器置入联合置管溶栓治疗下肢深静脉血栓形成的效果分析  

Analysis of the effect of inferior vena cava filter implantation combined with catheter thrombolysis in the treatment of deep vein thrombosis in the lower limbs

作　　者：周玮[1] 印利民[1] Zhou Wei;Yin Limin(Intervention Department of Taixing People's Hospital,Taizhou,Jiangsu 225400,China)

机构地区：[1]江苏省泰兴市人民医院,江苏泰州225400

出　　处：《首都食品与医药》2024年第2期29-31,共3页Capital Food Medicine

摘　　要：目的分析临床治疗下肢深静脉血栓采取下腔静脉滤器置入、置管溶栓联合方式的效果与价值。方法以2018年1月-2023年6月泰兴市人民医院收治的下肢静脉血栓患者50例作为此次研究对象,以随机抽签方式分组,对照组(25例)治疗方式为抗凝或(及)足背浅静脉溶栓;观察组(25例)治疗方式为下腔静脉滤器置入、置管溶栓二者联合;对比治疗总有效率,测量两组患者治疗前后大腿、小腿周径,计算差值,评估患者治疗前后静脉通畅程度。结果观察组治疗总有效率高于对照组(P<0.05),经测量,两组患者治疗前大腿、小腿周径差及静脉通畅度评估结果组间比较,无统计学差异(P>0.05),观察组患者治疗后大腿、小腿周径差低于对照组,静脉通畅评估得分低于对照组(P<0.05)。结论临床治疗下肢深静脉血栓形成问题时,可首选下腔静脉滤器置入联合置管溶栓的方式,相比常规足背浅静脉溶栓效果更理想,能有效改善大腿、小腿肿胀问题,提高静脉通畅性,值得推广。Objective Analyze the effectiveness and value of combining inferior vena cava filter implantation and catheterization for thrombolysis in the clinical treatment of lower limb deep vein thrombosis.Methods 50 patients with lower limb venous thrombosis admitted to the People's Hospital of Taixing City from January 2018 to June 2023 were selected as the research objective.They were randomly divided into groups by lot,and the control group(25 cases)received thrombolysis in the superficial vein of the dorsum of the foot as the treatment method;the observation group(25 cases)was treated with a combination of inferior vena cava filter implantation and catheter thrombolysis;compare the total effective rate of treatment,measure the circumference of the thighs and calves of the two groups of patients before and after treatment,calculate the difference,and evaluate the degree of venous patency of the patients before and after treatment.Results The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).After measurement,there was no statistically significant difference between the two groups in the evaluation results of thigh and calf circumference difference and venous patency before treatment(P>0.05).After treatment,the observation group patients had lower thigh and calf circumference difference than the control group,and the venous patency evaluation score was lower than the control group(P<0.05).Conclusion When treating deep vein thrombosis in the lower limbs in clinical practice,the preferred method is to implant an inferior vena cava filter combined with catheter placement for thrombolysis.Compared with conventional superficial vein thrombolysis in the dorsum of the foot,the effect is more ideal,effectively improving swelling in the thighs and calves,improving venous patency,and is worth promoting.

关 键 词：下腔静脉滤器 置管溶栓 下肢深静脉血栓 效果 

分 类 号：R472[医药卫生—护理学]