CAJ | 학술논문

目的研究低分子肝素联合血栓通预防老年髋部骨折术后下肢深静脉血栓形成的临床效果.方法从2012年6月至2014年5月我院接诊的病例中选择老年患者120例,按照随机数表法,随机均分为三组.治疗组对患者在术后当天进行皮下低分子肝素注射,同时静滴中成药血栓通针剂治疗;两药组采用低分子肝素皮下注射加常规措施(肢体运动等)治疗;中药组采用加血栓通静滴加常规措施(肢体运动等)治疗.然后比较三组病例术后肺栓塞和下肢深静脉血栓的发生率,以及术口出血量.结果采用血栓通联合低分子肝素治疗的患者,其肺栓塞的发生率和深静脉血栓的发生率明显低于只采用血栓通或者低分子肝素进行治疗的患者,各项数据比较有统计学意义(P＜0.05)术后出血量没有因为采用联合治疗而额外增加.结论采用血栓通和低分子肝素联合治疗能更有效地降低老年患者术后下肢深静脉血栓形成、肺栓塞的发生率,同时也不会增加术口出血量.
목적 연구저분자간소연합혈전통예방노년관부골절술후하지심정맥혈전형성적림상효과.방법 종2012년6월지2014년5월아원접진적병례중선택노년환자120례,안조수궤수표법,수궤균분위삼조.치료조대환자재술후당천진행피하저분자간소주사,동시정적중성약혈전통침제치료;량약조채용저분자간소피하주사가상규조시(지체운동등)치료;중약조채용가혈전통정적가상규조시(지체운동등)치료.연후비교삼조병례술후폐전새화하지심정맥혈전적발생솔,이급술구출혈량.결과 채용혈전통연합저분자간소치료적환자,기폐전새적발생솔화심정맥혈전적발생솔명현저우지채용혈전통혹자저분자간소진행치료적환자,각항수거비교유통계학의의(P＜0.05)술후출혈량몰유인위채용연합치료이액외증가.결론 채용혈전통화저분자간소연합치료능경유효지강저노년환자술후하지심정맥혈전형성、폐전새적발생솔,동시야불회증가술구출혈량.
Objective To studv the clinical effect of Xueshuantong combined with low molecular heparin for deep vein thrombosis after hip fraeture surgery in elderly patieuts.Methods 120 elderly patients admitted into our hospital from June.2012 to May,2014 were selected.The patients were randomly divided into three groups using random number table method.The treatment group were subcutaneous injected low molecular heparin and intravenously dripped Xueshuantong; the western medicine group were subeutaneously injected low molecular heparin and routinely treated (physical activity); and the Chinese medicine group were intravenously dripped Xueshuantong and routinelv treated (physical activity).The incidence of pulmouary embolism,the deep vein thrombosis of lower limb,and the wound of the bleeding were recorded.Results The incidences of pulmonary embolism and deep vein thrombosis were significantly lower in the patients treated with Xueshuantong and low molecular heparin than in those only with Xueshuantong or low molecular heparin,with statistical differences(P＜0.05).Combination therapy hadn' t increased the postoperative bleeding wolume.Conclusions Using Xueshuantong combined with low molecular heparin can effectively reduce the incidences of deep vein thrombosis and pulmonary embolism in postoperative elderly patients and wou't increase the bleeding volume of operation incision.