卒中患者下肢深静脉血栓的诊断及抗凝治疗的疗效分析

Diagnosis and anticoagulant treatment of deep venous thrombosis of lower extremity in stroke patients

目的讨论卒中患者下肢深静脉血栓的诊断及抗凝治疗的疗效。方法选取2015年2月至2019年6月在本院确诊治疗的脑卒中伴发下肢深静脉血栓患者120例,随机分为试验组和对照组两组,每组60例。对照组患者采用的治疗方式为临床常规疗法,试验组则采取低分子肝素抗凝方法治疗,对比两组患者的治疗有效率以及日常生活能力(ADL)情况。结果试验组60例患者中,仅有1例为无效,治疗有效率为98.33%。对照组60例患者中,仅有7例为无效,治疗有效率为88.33%,试验组优势更加明显,且组间差异存在统计学意义(P<0.05);试验组患者的ADL评分明显要高于对照组,且组间存在统计学意义(P<0.05)。结论针对卒中患者下肢深静脉血栓患者来讲,明确诊断后可采取抗凝治疗方案,效果良好,值得应用和推广。

Objective To discuss the diagnosis and anticoagulant effect of deep venous thrombosis of lower extremity in stroke patients.Methods 120 patients with cerebral apoplexy complicated with deep venous thrombosis of lower extremity diagnosed in our hospital from February 2015 to June 2019 were randomly divided into experimental group(n=60)and control group(n=60).The patients in the control group were treated with routine clinical therapy,while the experimental group was treated with low molecular weight heparin anticoagulant.The effective rate and ability of daily living(ADL)were compared between the two groups.Results Of the 60 patients in the experimental group,only 1 was ineffective,the effective rate was 98.33%,and only 7 of the 60 patients in the control group were ineffective,the effective rate was 88.33%.The advantage of the experimental group was more obvious,and there was statistical significance between the two groups,and the ADL score of the experimental group was significantly higher than that of the control group,and there was statistical significance between the two groups(P<0.05).Conclusion For patients with deep venous thrombosis of lower extremity in stroke patients,anticoagulant therapy can be adopted after definite diagnosis,and its effect is good and worthy of application and promotion.