急性脑出血合并下肢深静脉血栓的临床治疗分析

Clinical analysis of acute cerebral hemorrhage with lower limb deep venous thrombosis

目的研究急性脑出血合并下肢深静脉血栓的临床治疗。方法选取2014年3月至2016年3月吉林市中心医院接诊的80例急性脑出血合并下肢深静脉血栓患者作为本次研究的对象。按照分层随机分组法分为观察组和对照组,各40例。对照组患者接受单纯静脉药物溶栓治疗,观察组患者接受经导管接触溶栓治疗,观察2组患者治疗前后患侧肢体的周径差,分析治疗效果。结果治疗后观察组膝上、膝下15 cm周径差均小于对照组;观察组总有效率为95%(38/40),优于对照组75%(30/40),差异均具有统计学意义(P<0.05)。结论经导管接触溶栓治疗急性脑出血合并下肢深静脉血栓的治疗效果明显,能够减少出血并发症的发生风险。

Objective To explore the clinical treatment of acute cerebral hemorrhage with lower limb deep venous thrombosis. Methods From March 2014 to March 2016, 80 cases of acute cerebral hemorrhage patients with lower limb deep venous thrombosis in Jilin Central Hospital were selected as the objects. The patients were divided into observation group and control group by stratified randomization method, 40 cases in each group. The control group accepted the drug intravenous thrombolysis therapy alone, and observation group accepted transcatheter thrombolysis contacts therapy. The difference of the limb circumference before and after treatment between two groups was compared. Results After the treatment, the circumference of 15 cm above and below the knee in the observation group was less than the control group. The total efficiency of observation group was 95%(38/40), which was higher than control group of 75%(30/40). The difference was statistically significant(P<0.05). Conclusions Transcatheter thrombolysis contacts have significant effect for lower limb deep venous thrombosis in patients with acute cerebral hemorrhage. It can reduce bleeding complications.