[1]马松涛 邱庆虎 王科 柏冰 李印鹏 孙志强.补阳还五汤加减口服对髋关节置换术后气虚血瘀证患者血栓前状态的影响[J].中国中医骨伤科杂志,2018,26(04):36-39.
　MA Songtao QIU Qinghu WANG Ke BAI Bing LI Yinpeng SUN Zhiqiang.Effect of Buyang Huanwu Decoction for Treating Pre-thrombotic State Patients after Hip Joint Replacement with Qi Deficiency and Blood Stasis Syndrome[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(04):36-39.
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补阳还五汤加减口服对髋关节置换术后气虚血瘀证患者血栓前状态的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年04期
页码:
36-39
栏目:
临床研究
出版日期:
2018-04-10

文章信息/Info

Title:
Effect of Buyang Huanwu Decoction for Treating Pre-thrombotic State Patients after Hip Joint Replacement with Qi Deficiency and Blood Stasis Syndrome
文章编号:
1005-0205(2018)04-0036-04
作者:
马松涛1 邱庆虎2 王科1 柏冰1 李印鹏1 孙志强1
1河北临西县人民医院骨科(河北 临西,054900) 2河北清河县人民医院骨科
Author(s):
MA Songtao1 QIU Qinghu2 WANG Ke1 BAI Bing1 LI Yinpeng1 SUN Zhiqiang1
1People's Hospital of Linxi,Linxi 054900,Hebei China; 2People's Hospital of Qinghe,Qinghe 054800,Hebei China.
关键词:
关节置换;  补阳还五汤;  血栓前状态;  深静脉血栓
Keywords:
Keywords: joint replacement;  Buyang Huanwu decoction;  pre-thrombotic state;  deep venous thrombosis
分类号:
R274.39
文献标志码:
A
摘要:
目的:观察补阳还五汤加减口服对髋关节置换术后气虚血瘀证患者血栓前状态的影响。方法:选取本院骨科2015年4月至2017年2月80例髋关节置换术后气虚血瘀证患者随机分为治疗组和对照组各40例,两组均术日开始给予低分子肝素钙皮下注射治疗,治疗组在此基础上加用补阳还五汤加减口服治疗,治疗至术后第14天观察凝血指标、血液流变学指标和深静脉血栓发生率。结果:治疗第14天后,两组在纤维蛋白原、D-二聚体、血浆粘度、血小板电泳时间和红细胞变形指数等指标均较治疗前明显改善,差异有统计学意义(P<0.01); 治疗组优于对照组,差异有统计学意义(P<0.01); 两组深静脉血栓发生率差异有统计学意义(P<0.05)。结论:补阳还五汤加减口服治疗可改善髋关节置换术后气虚血瘀证患者血栓前状态,降低深静脉血栓发生率。
Abstract:
Abstract Objective:To study the effect of Buyang Huanwu decoction(BYHWD)for treating pre-thrombotic state in patient after hip joint replacement with qi deficiency and blood stasis syndrome.Methods:From april 2015 to february 2017,eighty patients with qi deficiency and blood stasis syndrome after hip joint replacement were divided into treatment group and control group(n=40 case).Low molecular weight heparin was injected with subcutaneous injection in both groups from operative day,and BYHWD was added in the treatment group.Index of coagulation function,hemorheology,and positive rate of DVT were observed 2 weeks after treatment.Results:After treatment,the fibrinogen,d-dimer,plasma viscosity,platelet electrophoresis time,erythrocyte deformability index in both group were improved than pre-treatment(P<0.01),the treatment group was superior to the control group(P<0.01).There was significant difference between two groups in positive rate of DVT(P<0.05).Conclusion:Treated with BYHWD in patient after hip joint replacement with qi deficiency and blood stasis syndrome can improve pre-thrombotic state,decrease the positive rate of DVT.

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更新日期/Last Update: 2018-04-15