[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.
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益气活血方预防骨科手术后深静脉血栓43例
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《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.

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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