中西医结合疗法联合护理干预治疗下肢深静脉血栓形成临床研究
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R543.6

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Clinical Study on Integrated Chinese and Western Medicine Therapy Combined with Nursing Intervention for Deep Vein Thrombosis of Lower Limbs
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    摘要:

    目的:观察中西医结合疗法联合护理干预治疗下肢深静脉血栓形成的效果。方法:选取下肢深静脉血栓形成患者56例,按随机数字表法分为对照组和观察组各28例。对照组采用西医治疗,观察组采用中西医结合治疗并配合护理干预。比较2组治疗前后凝血功能、患肢平面周径、血管再通情况及并发症发生情况。结果:治疗前,2组活化部分凝血活酶时间(PT)、活化部分凝血酶原时间(APTT)、D二聚体(D-D) 水平比较,差异无统计学意义(P>0.05)。治疗后,2组PT、APTT水平较治疗前升高,D-D 水平较治疗前降低;且观察组PT、APTT 水平高于对照组,而D-D 水平低于对照组;差异均有统计学意义(P<0.05)。治疗前,2组患肢大腿、小腿平面周径比较,差异无统计学意义(P>0.05)。治疗后,2组患肢大腿、小腿平面周径均较治疗前降低,且观察组患肢大腿、小腿平面周径均低于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组血管再通率高于对照组,而并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:中西医结合疗法联合护理干预治疗下肢深静脉血栓形成,可有效改善患者凝血功能,缩小患肢平面周径,提高血管再通率,减少并发症。

    Abstract:

    Abstract:Objective:To observe the effect of integrated Chinese and western medicine therapy combined with nursing intervention for deep vein thrombosis of lower limbs. Methods:A total of 56 cases of patients with deep vein thrombosis of lower limbs were selected and divided into the control group and the observation group,28 cases in each group. The control group was given western medicine treatment, and the observation group was given integrated Chinese and western medicine therapy combined with nursing intervention. The coagulation function, the planar circumference of the affected limb,the condition of vascular recanalization as well as the occurrence of complications before and after treatment in the two groups were compared. Results: Before treatment, when compared the levels of activated partial prothrombin time(PT), activated partial thrombin time(APTT) and D-dimer(D-D) between the two groups,there was no significance in the difference (P>0.05). After treatment, compared with those before treatment, the levels of PT and APTT in the two groups were increased, and the levels of D- D were decreased; the levels of PT and APTT in the observation group were higher than those in the control group, and the level of D-D was lower than that in the control group; differences were significant (P<0.05). Before treatment, when compared the planar circumference of the affected thigh and that of the affected leg between the two groups,there was no significance in the difference(P>0.05). After treatment,the planar circumference of the affected thigh and that of the affected leg in the two groups were decreased when compared with those before treatment; the above two planar circumferences in the observation group were smaller than those in the control group;differences were significant(P<0.05). After treatment,the rate of vascular recanalization in the observation group was higher than that in the control group,and the incidence of complications was lower than that in the control group,differences being significant(P<0.05). Conclusion: The therapy of integrated Chinese and western medicine therapy combined with nursing intervention in treating deep vein thrombosis of lower limbs, can effectively improve the coagulation function of patients, shorten the planar circumference of the affected limb, improve the rate of vascular recanalization, as well as reduce the complications.

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宁世杰,杜嫩,李德敬.中西医结合疗法联合护理干预治疗下肢深静脉血栓形成临床研究[J].新中医,2020,52(12):173-176

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  • 在线发布日期: 2020-06-15
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