凉血泻火消肿方联合西药治疗浅静脉炎临床研究
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R543.6

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Clinical Study on Liangxue Xiehuo Xiaozhong Prescription Combined with Western Medicine for Superficial Phlebitis
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    摘要:

    目的:观察凉血泻火消肿方联合西药治疗浅静脉炎及对血清炎症因子的影响。方法:采用奇偶数 分组法将75 例浅静脉炎患者分为对照组(37 例) 与观察组(38 例)。对照组给予常规西药治疗,观察组在对 照组基础上联合凉血泻火消肿方治疗。比较2 组治疗前后中医证候积分、血液流变学指标及血清炎症因子水 平,并评估2 组临床疗效及不良反应发生情况。结果:观察组总有效率92.11%,高于对照组72.97% (P< 0.05)。治疗后,2 组中医证候积分、全血高切黏度、血浆黏度、红细胞聚集指数、纤维蛋白原及肿瘤坏死因 子-α(TNF-α) 均较治疗前降低(P<0.05),白细胞介素-10(IL-10) 升高(P<0.05),且观察组治疗后中医 证候积分、血液流变学指标及TNF-α 低于对照组(P<0.05),IL-10 高于对照组(P<0.05)。2 组均未发生不 良反应。结论:凉血泻火消肿方联合西药治疗浅静脉炎疗效确切,能够有效减轻患者炎症反应,改善血液流变 学,安全性较高。

    Abstract:

    Abstract:Objective:To observe the effect of Liangxue Xiehuo Xiaozhong Prescription combined with western medicine for superficial phlebitis and its effect on inflammatory factors in serum. Methods:A total of 75 cases of patients with superficial phlebitis were divided into the control group and the observation group according to the odd- even number grouping method, with 37 and 38 cases in each group respectively. The control group was treated with routine western medicine,and the observation group was additionally given Liangxue Xiehuo Xiaozhong Prescription based on the treatment of the control group. Before and after treatment,traditional Chinese medicine (TCM) syndrome scores,hemorrheology indexes and levels of inflammatory factors in serum were compared between the two groups. The clinical effects and incidence of adverse reactions were evaluated in the two groups. Results:The total effective rate was 92.11% in the observation group,higher than that of 72.97% in the control group (P<0.05). After treatment, TCM syndrome scores,whole blood high shear viscosity,plasma viscosity,red cell aggregation,fibrinogen and tumor necrosis factor-α (TNF-α) in the two groups were decreased when compared with those before treatment (P<0.05), and levels of interleukin- 10 (IL- 10) were increased (P<0.05); the TCM syndrome scores,indexes of hemorheology and TNF-α in the observation group were lower than those in the control group (P<0.05),and the IL-10 was higher than that in the control group (P<0.05). There was no adverse reaction in the two groups. Conclusion: Liangxue Xiehuo Xiaozhong Prescription combined with western medicine has a definite curative effect in treating superficial phlebitis, and can effectively relieve inflammatory responses,and improve hemorrheology with high safety.

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陈巧露,邬丹丹,许吉凤.凉血泻火消肿方联合西药治疗浅静脉炎临床研究[J].新中医,2023,55(5):126-129

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  • 在线发布日期: 2023-03-15
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