中西医结合预防中老年人髋部骨折术后深静脉血栓形成的临床疗效

Combined traditional Chinese and Western medicine to prevent deep venous thrombosis after hip fracture in the elderly

目的探讨中西医结合预防中老年人髋部骨折术后深静脉血栓形成（DVT）的临床疗效。方法对我院在2009年1月-2014年12月收治住院的因髋部周围骨折行手术的200例患者资料进行回顾性分析,其中治疗组150例,对照组50例,从DVT彩超检测、DVT症状发生率、D-二聚体检测率方面的变化,观察中西医结合预防中老年人髋部骨折术后DVT的临床疗效。结果本研究200例患者中,有23例患者发生DVT,其中治疗组采用中西医结合治疗方式后经彩超证实的DVT有12例（8%）,对照组有11例（22%）,差异有统计学意义（P〈0.01）。结论中老年人在髋部骨折术后DVT是常见的并发症之一;中西医结合预防髋部骨折术后DVT具有显著的疗效,值得临床基层医院推广应用。

Objective To explore the clinical effect of combined Chinese and Western medicine in prevention of deep venous thrombosis after hip fracture in elderly patients. Methods 200 patients in our hospital from January 2009 to December 2014 because of a hip fracture line around data of were retrospectively analyzed,and treatment group were150 cases,control group were 50 cases,from DVT color Doppler ultrasound detection,DVT symptoms,D-2 accumulation detection rate changes,the clinical effect of deep venous thrombosis after the treatment of the Chinese and Western medicine to prevent postoperative deep venous thrombosis were observed. Results In this study,23 patients were treated with DVT,and 12 patients（8%） were treated with DVT after treating by integrated Chinese and Western medicine,11 patients（22%） were treated with DVT in control group,and the difference was statistically significant（P〈0.01）. Conclusion Deep venous thrombosis is one of the common complications in the elderly patients with hip fracture;the combination of traditional Chinese and Western medicine to prevent postoperative deep venous thrombosis has obvious curative effect,it is worthy of clinical use of primary hospitals.