摘要
【目的】探讨下肢深静脉血栓形成(lower extremity deep venous thrombosis,LEDVT)介入术后应用中医辨证治疗的作用,评价该治疗方案的有效性。【方法】回顾性研究2005~2011年在广州中医药大学第一附属医院诊治的60例LEDVT病例。所有患者均接受血管内介入技术联合中医辨证治疗。按照中医辨证标准分为气滞血瘀证39例,气虚血瘀证21例。介入术后1个月、6个月根据临床疗效评价标准观察各项指标。【结果】介入术后1个月,气滞血瘀证临床治愈34例,显效5例,有效和无效均0例;气虚血瘀证临床治愈14例,显效5例,有效2例,无效0例。术后6个月,气滞血瘀证临床治愈38例,显效1例,有效和无效均0例;气虚血瘀证临床治愈18例,显效1例,有效2例,无效0例。术后1个月2组临床疗效比较差异有统计学意义(P<0.05);术后6个月2组临床疗效比较差异无统计学意义(P>0.05)。术后6个月2组临床疗效均优于术后1个月,与术后1个月比较差异均有统计学意义(P<0.01)。【结论】中医辨证治疗可提高LEDVT介入术后的近期临床疗效,防止血栓形成复发。
Objective To investigate the effectiveness of applying traditional Chinese medical syndrome differentiation and treatment in lower extremity deep venous thrombosis (LEDVT) patients after intravenous intervention. Methods A retrospective study was carried out in 60 LEDVT patients which were admitted during the year of 2005-2011 in the First Affiliated Hospital of Guangzhou University of Chinese Medicine. All of the patients were treated with Chinese herbal medicine based on syndrome differentiation after intravenous intervention. The patients were differentiated as the syndrome of qi stagnation and blood stasis ( N = 39), and the syndrome of qi deficiency and blood stasis ( N = 21 ). The therapeutic effect was evaluated one month and 6 months after intravenous intervention. Results One month after intravenous intervention, 34 of the patients with qi stagnation and blood stasis were clinically cured and 5 were markedly effective, and in the patients with qi deficiency and blood stasis, 14 were clinically cured, 5 were markedly effective, and 2 were effective. Six months after intravenous intervention, 38 of the patients with qi stagnation and blood stasis were clinically cured and one was markedly effective, and in the patients with qi deficiency and blood stasis, 18 were clinically cured, one was markedly effective, and 2 were effective. The difference of therapeutic effect was significant between the two groups one month after intravenous intervention ( P 〈 0.05 ) while was insignificant 6 month later ( P 〉 0. 05 ). The therapeutic effect in the two groups 6 months after intravenous intervention was superior to that in the two groups one month after intravenous intervention (P 〈 0.01 ). Conclusion Traditional Chinese medical syndrome differentiation and treatment is benefit to the enhancement of therapeutic effect of intravenous intervention for LEDVT and to the prevention of thrombosis recurrence.
出处
《广州中医药大学学报》
CAS
北大核心
2012年第4期370-373,共4页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广东省中医药局科研课题(编号:2008145)
广东省财政厅项目(编号:粤财工[2007]126号-56)
关键词
血栓
深静脉
中医辨证
血管介入
围手术期
THROMBUS
DEEP VEINS
TRADITIONAL CHINESE MEDICAL SYNDROME DIFFERENTIATION
INTRAVENOUS INTERVENTION
PERI-OPERATIVE PERIOD