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目的:对中西医结合治疗下肢深静脉血栓与单纯西医常规治疗效果的差别进行比较,将结果以彩色多普勒超声对效果进行观察。方法:选取医院血管外科的102例住院患者,按照随机数字法分成两组,在西医常规组51例实行溶栓和抗凝治疗方案,中西医结合组的51例在西医常规组的治疗方案基础上加用中药,以彩色多普勒超声监测仪,分别对患者身体的以下指标进行检查:股静脉内血栓大小和管腔阻塞程度。并对以下的凝血生化指标进行测量:D-二聚体(mg/L),凝血酶原时间(s)与纤维蛋白原(g/L)。结果:中西医结合组的D-二聚体(mg/L),凝血酶原时间(s)与纤维蛋白原(g/L)三个项目的改善程度均优于西医常规组,差别出现统计学意义(P<0.05),经过彩色多普勒超声探测,下肢股静脉的阻塞情况,两组也都出现好转,但中西医结合组的要优于西医常规组,差别出现统计学意义(P<0.05),在治疗效果比较上,两组也出现统计学差异(P<0.05),中西医结合组的要优于西医常规组。结论:中西医结合对下肢深静脉血栓形成的治疗效果优于单纯的西医治疗,值得推广。
OBJECTIVE: To compare the difference between traditional Chinese and western medicine in the treatment of deep venous thrombosis of lower extremities and conventional Western medicine, and the results were observed by color Doppler ultrasound. Methods: A total of 102 hospitalized patients undergoing hospital vascular surgery were divided into two groups according to random number method. Thrombolytic and anticoagulant regimens were administered to 51 patients in the Western routine group, and 51 patients in the western medicine group On the increase of traditional Chinese medicine, color Doppler ultrasound monitor, respectively, the patient’s body to check the following indicators: the size of the femoral vein thrombosis and lumen obstruction. The following coagulopathy parameters were measured: D-dimer (mg / L), prothrombin time (s) and fibrinogen (g / L). Results: The improvement of D-dimer (mg / L), prothrombin time (s) and fibrinogen (g / L) in the combination of traditional Chinese and western medicine was better than that of western medicine group (P <0.05). After color Doppler ultrasound examination, occlusion of lower extremity femoral vein also improved in both groups, but the combination of Chinese and Western medicine group was superior to that of Western medicine group (P <0.05). There was also a statistically significant difference between the two groups (P <0.05) in the treatment effect, and the combination of traditional Chinese and western medicine was superior to that of western medicine. Conclusion: The treatment of lower extremity deep vein thrombosis by integrated traditional Chinese and western medicine is better than pure Western medical treatment, which is worth promoting.