[1]潘炜.益气活血方预防骨科手术后深静脉血栓43例[J].西部中医药,2014,27(02):100-101.
　PAN Wei.Qi-invigorating Blood-activating Method in the Prevention of 43 Patients with Deep Vein Thrombosis after Orthopedic Surgery[J].Western Journal of Traditional Chinese Medicine,2014,27(02):100-101.
点击复制

益气活血方预防骨科手术后深静脉血栓43例
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
27
期数:
2014年02期
页码:
100-101
栏目:
出版日期:
2014-02-15

文章信息/Info

Title:
Qi-invigorating Blood-activating Method in the Prevention of 43 Patients with Deep Vein Thrombosis after Orthopedic Surgery
文章编号:
1004-6852(2014)02-0100-02
作者:
潘炜
临夏州人民医院骨科，甘肃 临夏 731100
Author(s):
PAN Wei
Department of Orthopedics of Linxia Hui Autonomous Prefecture People′s Hospital, Linxia Hui Autonomous Prefecture 731100, China
关键词:
骨科; 手术; 益气活血方; 深静脉血栓; 预防
Keywords:
orthopedic department;  surgery;  Qi-invigorating blood-activating prescription;  deep vein thrombosis;  prevention
分类号:
R619.2
文献标志码:
B
摘要:
目的：观察益气活血方预防骨科大手术后深静脉血栓的临床效果。方法：将86例骨科手术患者随机分为观察组、对照组各43例。对照组给予低分子肝素钙抗凝治疗，1次/d。观察组给予益气活血方，水煎分早晚服用。2组均以2周为1个疗程。观察2组纤维蛋白原、凝血酶原时间、活化部分凝血活酶时间和D-二聚体（D-dimer）水平的变化情况及血栓形成情况。结果：术后深静脉血栓形成的发生率观察组为2.33%，对照组为4.65%，2组比较差异无统计学意义(P＞0.05)。用药前后的纤维蛋白原及D-dimer的差值观察组大于对照组（P＜0.05），凝血酶原时间及活化部分凝血活酶时间2组比较差异无统计学意义(P＞0.05)。结论：运用益气活血法预防骨科大手术后深静脉血栓，具有与低分子肝素钙相同的预防效果。
Abstract:
Objective: To observe clinical effects of Qi-invigorating blood-activating method in preventing deep vein thrombosis after orthopedic surgery. Methods: All 86 patients were randomized into the observation group and the control group. The control group were given with low-molecular-weight heparin calcium, once per day, and the observation group the prescription of Qi-invigorating blood-activating, taken in the morning and the evening after decocted. Two weeks were one course of treatment. The changes of fibrinogen, prothrombin time, activated partial thromboplastin time (APTT), the levels of D-dimer and the conditions of thrombogenesis were investigated. Results: The incidence of deep vein thrombogenesis in the observation group was 2.33%, lower than 4.65% of the control group, the difference had no statistical meaning between both groups(P＞0.05). The differences of fibrinogen and D-dimer in the observation group were higher than those of the control group before and after the medication(P＜0.05), the difference had no statistical meaning in prothrombin time and APTT(P＞0.05). Conclusion: Qi-invigorating blood-activating method could gain the similar effects to low-moleuclar-weight heparin calcium in preventing deep vein thrombosis after orthopedic surgery.

相似文献/References:

[1]高运来.贞芪扶正颗粒配合手术治疗颌面部肿瘤40例临床观察[J].西部中医药,2013,26(03):4.
　GAO Yunlai.Clinical Observation on Surgery and ZhenQi FuZheng Granules in Treating 40 Cases of Maxillo-facial Tumor[J].Western Journal of Traditional Chinese Medicine,2013,26(02):4.
[2]王永宏.肱骨内上髁骨折手术治疗50例临床观察[J].西部中医药,2013,26(06):77.
　WANG Yonghong.Clinical Observation on Surgery for 50 Patients with Facture of Medial Epicondyle of Humerus[J].Western Journal of Traditional Chinese Medicine,2013,26(02):77.
[3]陈伟杰.直肠癌治疗进展[J].西部中医药,2012,25(07):127.
　CHEN Wei-jie.Progress on Treatment of Rectal Carcinoma[J].Western Journal of Traditional Chinese Medicine,2012,25(02):127.
[4]陈萍,孙淑华,李颖,等.临床路径结合品管圈提高骨科护理服务质量的措施[J].西部中医药,2015,28(02):126.
[5]黎媛媛,赵永强,田 军,等.某三级甲等中医院骨科住院患者疾病谱构成分析[J].西部中医药,2015,28(04):78.
[6]严红燕.经鼻蝶入路垂体瘤切除术后尿崩症的护理体会[J].西部中医药,2013,26(05):121.
　YAN Hongyan.Nursing Experience of Patients with Diabetes Insipidus after the Resection of Pituitary Tumor through Nose-Sphenoid Sinus[J].Western Journal of Traditional Chinese Medicine,2013,26(02):121.
[7]李 岩,张雪霞,李晓娟.自体血回输在骨外科手术中的应用[J].西部中医药,2012,25(10):101.
　LI Yan,ZHANG Xue-xia,LI Xiao-juan.Application of Intraoperative Autotransfusion to the Operation of Bone Surgical Department[J].Western Journal of Traditional Chinese Medicine,2012,25(02):101.
[8]陈小江,张耀军,周文举.增液胃肠复原汤对腹部手术后胃肠功能的影响[J].西部中医药,2016,29(02):105.
　CHEN Xiaojiang,ZHANG Yaojun,ZHOU Wenju.Influence of ZengYe WeiChang FuYuan Tang on Gastrointestinal Function of the Patients after Abdominal Operation[J].Western Journal of Traditional Chinese Medicine,2016,29(02):105.
[9]刘国亮,李亚军.中西医结合治疗胫骨远端骨折56例[J].西部中医药,2016,29(02):116.
　LIU Guoliang,LI Yajun.Treating 56 Patients with Distal Tibial Fractures by Integrative Medicine[J].Western Journal of Traditional Chinese Medicine,2016,29(02):116.
[10]许志宇,指导：孟和.由“动静结合、筋骨并重”谈孟氏学术理念[J].西部中医药,2016,29(01):58.
　XU Zhiyu,Director: MENG He.On Meng′s Academic Ideas by ″Association of Activity and Inertia, Both Tendon and Bone″[J].Western Journal of Traditional Chinese Medicine,2016,29(02):58.

备注/Memo

备注/Memo:
收稿日期：2013-02-27作者简介：潘玮(1977—)，男，主治医师。研究方向：创伤骨科关节外科。
更新日期/Last Update: 2014-02-15