中药治疗人工全髋关节置换术后深静脉血栓50例(1)
摘要：目的：探究中药治疗人工全髋关节置换术后深静脉血栓的临床治疗效果。方法：选取我院2013年6月～2014年6月门诊及住院部50例人工全髋关节置换术后深静脉血栓患者的回顾性研究，按照治疗方法的不同将其分为实验组和对照组，对照组患者服用华法林治疗，实验组患者服用活络效灵丹治疗，观察两组患者治疗后凝血酶原时间变化情况、临床治疗效果及用药后的不良反应情况。结果：两组患者经治疗后，凝血酶原时间变化比较，实验组明显优于对照组，临床治疗总有效率比较，实验组明显高于对照组，p<0.05，差异具有统计学意义;两组患者用药后总不良反应率比较，实验组明显低于对照组，p<0.05，差异具有统计学意义。结论：采用中药治疗人工全髋关节置换术后深静脉血栓具有显著的临床治疗效果，且不良反应少、安全性高，可帮助患者尽早康复，是临床治疗深静脉血栓的首选方法。
关键词：中药;活络效灵丹;人工关节置换术;深静脉血栓
Abstract： Objective： to explore Chinese medicine treatment of deep vein thrombosis after total hip arthroplasty clinical therapeutic effect. Selection Methods： our hospital from June 2013 to June 2014 outpatient and the inpatient 50 cases of patients with deep vein thrombosis after total hip arthroplasty retrospectively study， according to the treatment of the different divided into experimental group and control group， control group patients taking warfarin treatment， the treatment group treated with adjustable effect best treatment， observe two groups of patients after treatment， the change of the prothrombin time， clinical curative effect and adverse reaction of the medicine. Results： two groups of patients after treatment， prothrombin time， the experimental group was better than control group， the clinical total effective rate comparison， the experimental group is significantly higher than the control group， p < 0.05， the difference is statistically significant; Two groups of patients after total adverse reaction rate comparison， the experimental group significantly lower than the control group， p < 0.05， the difference is statistically significant. Conclusion： the traditional Chinese medicine in the treatment of deep vein thrombosis after total hip arthroplasty has significant clinical effect， and less adverse reaction， high safety， can help patients recover as soon as possible， is the preferred method in the clinical treatment of deep vein thrombosis.
, 百拇医药
Keywords： Chinese medicine; Adjustable effect magic; Artificial joint replacement; Deep vein thrombosis
深静脉血栓是(DVT)是人工全髋关节置换术后最常见的一种并发症。据有关资料显示[1]，美国每年由于深静脉血栓住院病人大约60万，其中5～20万人发展为肺栓塞。当一个血栓大到足以完全阻塞肺动脉的时候就可导致患者心搏停止，其严重威胁着人们的身体健康和生命安全。我院对50例人工全髋关节置换术后深静脉血栓患者采取中药治疗研究，取得一定成果，现将结果进行如下报道。
1资料与方法
1.1一般资料
注：两组患者治疗后总不良反应率比较上，p<0.05，差异具有统计学意义。
3讨论
深静脉栓塞是骨科手术患者发生并发症的一大重要因素。美国高龄的髋部骨折患者深静脉血栓发生率40.0%以上，膝和髋关节重建手术深静脉血栓的发生率在45.0%～70.00%[2]。脊髓损伤患者也存在较高的深静脉栓塞发生率。有关研究表明[3]，饮食西方化、糖尿病患者手术适应证的扩大、高龄合并心脑血管疾病、手术普及率提高，是术后深静脉血栓发生率升高的不容忽视原因。人工全髋关节置换术后深静脉血栓临床表现为：患肢肿痛、皮肤温度升高、浅静脉扩张等症状。, 百拇医药(刘茂辉)
关键词：中药;活络效灵丹;人工关节置换术;深静脉血栓
Abstract： Objective： to explore Chinese medicine treatment of deep vein thrombosis after total hip arthroplasty clinical therapeutic effect. Selection Methods： our hospital from June 2013 to June 2014 outpatient and the inpatient 50 cases of patients with deep vein thrombosis after total hip arthroplasty retrospectively study， according to the treatment of the different divided into experimental group and control group， control group patients taking warfarin treatment， the treatment group treated with adjustable effect best treatment， observe two groups of patients after treatment， the change of the prothrombin time， clinical curative effect and adverse reaction of the medicine. Results： two groups of patients after treatment， prothrombin time， the experimental group was better than control group， the clinical total effective rate comparison， the experimental group is significantly higher than the control group， p < 0.05， the difference is statistically significant; Two groups of patients after total adverse reaction rate comparison， the experimental group significantly lower than the control group， p < 0.05， the difference is statistically significant. Conclusion： the traditional Chinese medicine in the treatment of deep vein thrombosis after total hip arthroplasty has significant clinical effect， and less adverse reaction， high safety， can help patients recover as soon as possible， is the preferred method in the clinical treatment of deep vein thrombosis.
, 百拇医药
Keywords： Chinese medicine; Adjustable effect magic; Artificial joint replacement; Deep vein thrombosis
深静脉血栓是(DVT)是人工全髋关节置换术后最常见的一种并发症。据有关资料显示[1]，美国每年由于深静脉血栓住院病人大约60万，其中5～20万人发展为肺栓塞。当一个血栓大到足以完全阻塞肺动脉的时候就可导致患者心搏停止，其严重威胁着人们的身体健康和生命安全。我院对50例人工全髋关节置换术后深静脉血栓患者采取中药治疗研究，取得一定成果，现将结果进行如下报道。
1资料与方法
1.1一般资料
注：两组患者治疗后总不良反应率比较上，p<0.05，差异具有统计学意义。
3讨论
深静脉栓塞是骨科手术患者发生并发症的一大重要因素。美国高龄的髋部骨折患者深静脉血栓发生率40.0%以上，膝和髋关节重建手术深静脉血栓的发生率在45.0%～70.00%[2]。脊髓损伤患者也存在较高的深静脉栓塞发生率。有关研究表明[3]，饮食西方化、糖尿病患者手术适应证的扩大、高龄合并心脑血管疾病、手术普及率提高，是术后深静脉血栓发生率升高的不容忽视原因。人工全髋关节置换术后深静脉血栓临床表现为：患肢肿痛、皮肤温度升高、浅静脉扩张等症状。, 百拇医药(刘茂辉)