髋臼骨折并发深静脉血栓的治疗和临床分析

Treatment and Clinical Analysis of Deep Vein Thrombosis in Patients of Hip Fracture

目的:探讨髋臼骨折并发深静脉血栓后的治疗方法和疗效。方法:将48例髋臼骨折并发深静脉血栓形成患者随机分为A组和B组,其中B组采用尿激酶和丹参联合给药的方式进行治疗,给药途径为手背静脉滴注;A组在对照组基础上加用低分子肝素和肠溶阿司匹林,并采用了患肢远端静脉直接给药的方式进行治疗,分别在治疗后第3个月、第6个月和刚满1年的3个时间点对两组患者的疗效进行比较。结果在3个时间点,A组的总有效率均高于对照组,差异具有统计学意义(P<0.05)。结论:尿激酶、丹参并加用低分子肝素钙及肠溶阿司匹林及采用患肢远端静脉直接给药的方式并加用中药治疗髋臼骨折并发深静脉血栓患者可推广应用。

Objective：To detect the treatment method and curative effect in patients with hip fracture complicated with deep vein thrombosis. Methods： All 48 cases of hip fracture complicated with deep vein thrombosis were randomly divided into observed group and control group. The patients in control group were treated with urokinase and Salvia intravenous infu- sion through the back of the hand. The patients in observed group were treated pulsed with low molecular weight heparin and enteric-coated aspirin, intravenous infusion through the injured distal limb venous. The curative effects were compared 3 months, 6 months, and one year after treatment in the two groups. Results：The total effective rate in observe group was higher than control group in all three time points （P〈0. 05）. Concision：It can be widely applied for using urokinase, sal- via, and the addition of low molecular weight heparin and enteric--coated aspirin, intravenous infusion through the injured distal limb venous, for treating hip fracture complicated with deep vein thrombosis.