[1]邵聿蕙,陆静奕,马毓霞,等.中医综合护理对阳虚血瘀型慢性心力衰竭患者下肢深静脉血栓形成的预防作用[J].西部中医药,2026,39(02):145-148.[doi:10.12174/j.issn.2096-9600.2026.02.28]
 SHAO Yuhui,LU Jingyi,MA Yuxia,et al.Preventive Effects of TCM Comprehensive Nursing on DVT in Patients with Chronic Heart Failure of Yang Deficiency and Blood Stasis Type[J].Western Journal of Traditional Chinese Medicine,2026,39(02):145-148.[doi:10.12174/j.issn.2096-9600.2026.02.28]
点击复制

中医综合护理对阳虚血瘀型慢性心力衰竭患者下肢深静脉血栓形成的预防作用()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年02期
页码:
145-148
栏目:
临床研究
出版日期:
2026-02-15

文章信息/Info

Title:
Preventive Effects of TCM Comprehensive Nursing on DVT in Patients with Chronic Heart Failure of Yang Deficiency and Blood Stasis Type
作者:
邵聿蕙, 陆静奕, 马毓霞, 陈洁, 唐海梅
上海市静安区中医医院,上海 200072
Author(s):
SHAO Yuhui, LU Jingyi, MA Yuxia, CHEN Jie, TANG Haimei
Jing’an District Hospital of TCM, Shanghai 200072, China
关键词:
慢性心力衰竭阳虚血瘀证深静脉血栓中医综合护理
Keywords:
chronic heart failuredeficiency and blood stasis typedeep vein thrombosisTCM comprehensive nursing
分类号:
R248.2
DOI:
10.12174/j.issn.2096-9600.2026.02.28
文献标志码:
B
摘要:
目的观察中医综合护理对阳虚血瘀型慢性心力衰竭(chronic heart failure,CHF)患者下肢深静脉血栓(deep vein thrombosis,DVT)形成的预防作用。 方法将80例阳虚血瘀型CHF患者,按随机数字表法分为对照组和观察组各40例。两组患者均予基础疾病常规治疗方案,在此基础上,对照组予基础预防护理措施,观察组在对照组基础上予中医综合护理。连续干预2周后比较两组患者下肢DVT发生率、下肢静脉血流及血浆D-二聚体水平。 结果治疗1、2周后DVT发生率比较,差异无统计学意义(P>0.05),但DVT总发生率观察组[7.50%(3/40)]低于对照组[30.00%(12/40)](P<0.05);两组患者血浆D-二聚体水平均降低(P<0.05),观察组降低更明显(P<0.05)。治疗2周后,两组患者股深静脉与undefinedundefinedundefined静脉血流速度均加快(P<0.05),观察组加快程度更显著(P<0.05)。 结论中医综合护理可有效预防阳虚血瘀型CHF患者下肢DVT的形成,改善下肢血液循环。
Abstract:
ObjectiveTo explore the preventive effects of TCM comprehensive nursing on DVT in patients with chronic heart failure (CHF) of Yang deficiency and blood stasis type. MethodsA total of 80 patients were randomly assigned to either the control group or the observation group (40 per group) using a random number table. Both groups received conventional treatment for the underlying diseases, based on this, basic preventive nursing measures was given to the control group, while the observation group was administered TCM comprehensive nursing. To compare the incidences of DVT, venous blood flow in the lower extremities and plasma D-dimer levels in the two groups after two consecutive weeks of the intervention. ResultsThe difference was insignificant in the incidences of DVT after one week or two weeks of the treatment (P>0.05), while total incidences of DVT of the observation group was [7.50%(3/40)], lower than [30.00%(12/40)] of the control group (P<0.05); plasma D-dimer levels decreased significantly in both groups (P<0.05), with a more pronounced reduction observed in the observation group (P<0.05). After two weeks of the treatment, blood flow velocity in the deep femoral vein and popliteal vein increased in the two groups (P<0.05), the acceleration was more significant in the observation group (P<0.05). ConclusionTCM comprehensive nursing could effectively prevent DVT of the lower extremities in patients with CHF of Yang deficiency and blood stasis type, and improve blood circulation of the legs.

相似文献/References:

[1]李清秀,陈守强△.从运气学说探讨乙未年慢性心力衰竭的诊治规律[J].西部中医药,2015,28(10):84.
[2]刘世梅,胡 琰,杜景柏,等.以心功能分级为依据的中医分型治疗慢性心力衰竭临床观察[J].西部中医药,2018,31(09):97.
 LIU Shimei,HU Yan,DU Jingbai,et al.Clinical Observation on Treating Chronic Congestive Heart Failure by TCM Pattern Treatment on the Foundation of Cardiac Functional Grading[J].Western Journal of Traditional Chinese Medicine,2018,31(02):97.
[3]刘明晖,赵树华△.五苓散治疗慢性心力衰竭60例[J].西部中医药,2017,30(02):74.
 LIU Minghui,ZHAO Shuhua.WuLing San in Treating 60 Cases of Chronic Heart Failure[J].Western Journal of Traditional Chinese Medicine,2017,30(02):74.
[4]李亮,姬艳苏△.黄芪总皂苷对心力衰竭大鼠JAK2和STAT3的影响[J].西部中医药,2018,31(09):17.
 LI Liang,JI Yansu.Effects of Total Saponins of HuangQi on JAK2/STAT3 of the Rats with Heart Failure[J].Western Journal of Traditional Chinese Medicine,2018,31(02):17.
[5]孙小静,张亚峰.参附注射液治疗慢性心力衰竭疗效观察[J].西部中医药,2019,32(05):84.
 SUN Xiaojing,ZHANG Yafeng.Clinical Observation on ShenFu Injection in the Treatment for Chronic Heart Failure[J].Western Journal of Traditional Chinese Medicine,2019,32(02):84.
[6]赵丽娴,袁天慧,陈汉裕.冼绍祥教授从“双心”角度论治慢性心力衰竭思想荟萃[J].西部中医药,2020,33(05):38.[doi:10.12174/j.issn.1004-6852.2020.05.11]
 ZHAO Lixian,YUAN Tianhui,et al.Professor Xian Shaoxiang′s Thinking of Treating Chronic Heart Failure Based on the Angle of ″Two Hearts″[J].Western Journal of Traditional Chinese Medicine,2020,33(02):38.[doi:10.12174/j.issn.1004-6852.2020.05.11]
[7]刘颖,李争,张玉焕,等.芪参益气汤联合厄贝沙坦治疗老年慢性心力衰竭临床观察[J].西部中医药,2020,33(06):98.[doi:10.12174/j.issn.1004-6852.2020.06.26]
 LIU Ying,LI Zheng,ZHANG Yuhuan,et al.Clinical observation on Qishen Yiqi Tang and Irbesartan in Treating Senile Patients with Chronic Heart Failure[J].Western Journal of Traditional Chinese Medicine,2020,33(02):98.[doi:10.12174/j.issn.1004-6852.2020.06.26]
[8]张洪磊,郝伟,张婷△.养心益阳汤对慢性心力衰竭患者IL-6、IL-18、hs-CRP水平的影响[J].西部中医药,2020,33(08):86.[doi:10.12174/j.issn.1004-6852.2020.08.22]
 ZHANG Honglei,HAO Wei,ZHANG Ting.Influence of Heart-nourishing Yang-invigorating Decoction on the Levels of IL-6,IL-18 and hs-CRP in CHF Patients[J].Western Journal of Traditional Chinese Medicine,2020,33(02):86.[doi:10.12174/j.issn.1004-6852.2020.08.22]
[9]李星星,李岩,范宗静,等.慢性心力衰竭合并焦虑抑郁的研究进展[J].西部中医药,2021,34(07):150.[doi:10.12174/j.issn.2096-9600.2021.07.38]
 LI Xingxing,LI Yan,FAN Zongjing,et al.Research Progress of Chronic Heart Failure with Anxiety and Depression[J].Western Journal of Traditional Chinese Medicine,2021,34(02):150.[doi:10.12174/j.issn.2096-9600.2021.07.38]
[10]冯思颖,吴威妮,褚庆民,等.基于网络药理学探讨葶苈大枣泻肺汤治疗慢性心力衰竭的作用机制[J].西部中医药,2021,34(05):26.[doi:10.12174/j.issn.2096-9600.2021.05.07]
 FENG Siying,WU Weini,CHU Qingmin,et al.The Mechanism of Tingli Dazao Xiefei Tang in Treating Chronic Heart Failure Based on Network Pharmacology[J].Western Journal of Traditional Chinese Medicine,2021,34(02):26.[doi:10.12174/j.issn.2096-9600.2021.05.07]

备注/Memo

备注/Memo:
上海市护理学会科研课题(2023MS-B03)。邵聿蕙(1980—),女,主管护师。研究方向:心血管疾病护理。
更新日期/Last Update: 2026-02-15