53例下肢深静脉血栓形成后综合征的中西医结合治疗

53 Cases of Post Thrombotic Syndrome of Lower Extremity(PTS) Treated with Integrated Chinese and Western Medicine

目的探讨中西医结合综合疗法治疗下肢深静脉血栓形成后综合征(PTS)的临床疗效。方法收集从2006年12月～2010年12月期间53例下肢深静脉血栓形成后综合征住院患者,采用中西医结合治疗。中医采用健脾活血利湿为主治疗,西医应用降纤酶降低纤维蛋白原、改善血黏度,并配合循序治疗仪、弹力袜等治疗。结果经中西医结合治疗后,53例患者中,临床痊愈9例,显效21例,有效22例,总有效率98.11%。结论绝大多数下肢深静脉血栓形成的患者经过中西医结合治疗后,均达到防止血液倒流、减低静脉高压、减轻静脉瓣膜损伤、增加静脉血管弹性、防止血栓蔓延、促使侧支形成的满意疗效,对于改善患者预后、提高患者生活质量有重要意义。

Objective To explore the clinical efficacy on post thrombotic syndrome of lower extremity（PTS）treated with integrated Chinese and western medicine.Methods 53 cases of PTS inpatients were collected from December 2006 to December 2010.The integrated Chinese and western treatment was adopted.Chinese medicine was applied to strengthen the spleen,activate blood circulation and remove damp.Western medicine was provided to reduce the levels of cellulose and fibrinogen and improve blood viscosity.Additionally,the circulated compression instrument apparatus and stockings were combined.Results After integrated Chinese and western medicine treatment,of 53 cases,9 cases were cured clinically,21 cases effective remarkably and 22 cases effective.The total effective rate was 98.11%.Conclusion A majority of PTS patients has achieved the satisfactory efficacy with integrated Chinese and western medicine in preventing from blood backflow,lowering venous hypertension,alleviating venous valve damage,enhancing venous elasticity,preventing from thrombus spreading and promoting branch formation.The treatment program is very significant in the improvements of prognosis and life quality of the patients.