足底按摩联合祛瘀通脉汤对静脉血栓的预防性研究

Study of Treatment of Postoperative Deep Vein Thrombosis Prophylaxis with Topical Quyu Tongmai Tonga and Foot Acupressure

目的探讨外用祛瘀通脉汤加足底穴位按摩护理对术后下肢静脉血栓的预防性研究。方法将168例进行下肢重大手术患者随机分为对照组84例和观察组84例。对照组给予皮下注射低分子肝素钠,观察组在对照组的基础上给予祛瘀通脉汤外洗熏蒸浸泡再加足底穴位按摩。于治疗前、治疗后2周检测股深静脉及腘静脉血流速情况,观察两组下肢静脉血栓发生率及肿胀消除时间,检测凝血功能及血液流变学指标。结果观察组疗效优于对照组,差异有统计学意义(z=-2.414,P<0.05),两组术后下肢静脉血栓发生率分别为6.0%、7.1%,差异无统计学意义(P>0.05),但观察组血栓肿胀消除时间(11.27±3.20)d,明显短于对照组(13.39±2.68)d,差异有统计学意义(P<0.05)。观察组治疗后的血浆粘度和红细胞聚集指数均明显较治疗前降低,与对照组比较差异也有统计学意义(P<0.05)。结论采用外用祛瘀通脉汤加足底穴位按摩护理对术后下肢静脉血栓形成效果确切。

Objective To explore the topical Quyu Tongmai Tonga with foot acupressure in treatment of postoperative deep vein thrombosis prophylaxis. Methods 168 cases of major lower extremity surgery patients were randomly divided into two groups, which had 84 cases in each one. The control group was given a subcutaneous injection of low molecular weight heparin. The observed group was given Quyu Tongmai Tonga decoction external cleaning,and foot acupressure. Results The therapeutic effect of the observation group was better than that of the control group, the difference was statistically significant （z = -2.414, P 〈 0.05）. Postoperative incidence of deep vein thrombosis were 6.0% and 7.1%, there was no significant difference between the two group（ P 〉 0.05 ）, but the thrombus swelling eliminate time of the observation group was （11.27 ± 3.20） d, it was signifi- cantly shorter than that of the control group which was （ 13.39 ± 2.68 ） d, the difference was statistically significant （ P 〈 0.05 ）. Plasma viscosity and erythrocyte aggregation index were lower than before,and the observation were better than the control group （P 〈 0.05）. Conclusion Treatment of postoperative deep vein thrombosis with the topical Quyu Tongmai Tonga and foot acupressure had the exact effect.