摘要
目的:探究中西医结合防治妇科术后下肢深静脉血栓的效果。方法:预防:随机选出在我院接受医治的行全子宫切除术患者共计100例,接受诊治的时间最早为2019年1月,最晚为2020年12月。将所有患者进行编号,打散后均分成两个研究小组,即对照1组与预防组。预防组于术后干预气压治疗联合黄芪桂枝五物汤加减进行足浴,时间为7 d,对照1组只需干预气压治疗,时间为7 d。对术后下肢深静脉血栓发生率、D-D二聚体阳性率进行评价(阳性界限:0.5 mg/kg)。治疗:选取40例术后出现下肢深静脉血栓患者,将所有患者进行编号,打散后均分成两个研究小组,即对照2组与治疗组。对照2组通过低分子肝素钠、右旋糖酐40葡萄糖注射液进行干预,时间持续14 d,治疗组则需在前者基础加用补阳还五汤加减进行干预,时间持续14 d。后续对研究指标变化进行统计分析。结果:预防:① 预防组的下肢深静脉血栓发生率为0.00%,低于对照1组的12.00% (P < 0.01)。② 对照1组出现下肢深静脉血栓的5例患者,D-D二聚体阳性率为80.00%;预防组未出现下肢深静脉血栓的95例患者,D-D二聚体阳性率为28.42%。治疗:① 治疗组治愈率为95.00%,高于对照2组45.00% (P < 0.01)。② 治疗组可有效降低血小板(PLT)、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(Fib)和D-D二聚体。血红蛋白(HGB)和凝血酶时间(TT)指标变化无显著差异。结论:中西医结合对于防治妇科术后下肢深静脉血栓有着良好效果,可根据患者的实际情况,酌情采用。
Objective: To explore the effect of integrated traditional Chinese and Western medicine in the pre-vention and treatment for lower extremity deep venous thrombosis after gynecological surgery. Methods: Prevention: A total of 100 patients who underwent total hysterectomy were randomly se-lected in our hospital. The earliest time for diagnosis and treatment was January 2019, and the lat-est was December 2020. All patients were numbered and divided into two research groups after breaking up, namely the control group 1 and the prevention group. The prevention group received air pressure therapy combined with Huangqi Guizhi Wuwu Decoction adjusting and foot bath for 7 days after operation, while the control group only needed air pressure therapy for 7 days. The inci-dence of deep vein thrombosis and the positive rate of D-D dimer were evaluated after operation (positive limit: 0.5 mg/kg). Treatment: 40 patients with postoperative deep vein thrombosis were selected, and all patients were numbered and divided into two research groups, namely the control group 2 and the treatment group. The control group 2 was intervened with low molecular weight heparin sodium and dextran 40 glucose injection for 14 days, while the treatment group was inter-vened with Buyang Huanwu Decoction adjusting on the basis of the former for 14 days. Follow, sta-tistical analysis was carried out on the change of research in dictators. Results: Prevention: ① The incidence of lower extremity deep vein thrombosis in the prevention group was 0.00%, which was lower than that in the control group 12.00% (P < 0.01). ② The positive rate of D-D dimer was 80.00% in 5 patients with lower extremity deep vein thrombosis in the control group 1;the positive rate of D-D dimer was 28.42% in the 95 patients without lower extremity deep vein thrombosis in the prevention group. Treatment: ① The cure rate in the treatment group was 95.00%, which was higher than that in the control group 2 45.00% (P < 0.01). ② The treatment group can effectively reduce platele
出处
《临床医学进展》
2023年第3期3676-3681,共6页
Advances in Clinical Medicine
