三七总皂苷对老年骨折术后凝血与骨代谢指标影响.pdf

折存在发生DVT的风险，因此，采取相关的预防措施很有必要。 4、本研究暂未发现运用中成药血栓通 三七总皂苷 及西药低分子肝素钙对骨 代谢生化指标有影响。 关键词： 三七总皂苷；活血化瘀法；骨质疏松性骨折；骨代谢生化指标；下肢深静 脉血栓形成 and I ofPanax i i nsonCl otti ngI ndi ces mpacts NotognsenqSapon i ents i i n Seni I eFracturedPat BoneMetaboI CMarkers Operated and ofTCM traumatoIogy SpeciaIty：orthopedics Author：Fu Fang Hong o．Prof．CaiHua Tutor Abstract Objectlve safer solution Inorderto amoreeffectiveand prophylactic provide with senile major for veinthrombosis DVT inpatients deep postoperative clinical andTCM of to tutor’S theory my experience fractures，according the and stasis，weinvestigatedimpacts bloodcirculation activating expelling andthe metabolic ontheclottindices bony Panax ing of notoginsenqsaponins fractures． with intertrochanteric markersonsenile osteoporotic patients Nethods to 2013 2014， Basedonclinicalresearch January January methodology，from fracture casesof unilateralintertrochanteric sixty osteoporotic to affiliatedGuangzhou intheTraumaticand Hospital hospitalized Orthopedics and standardsof of eligibletoour T．C．M．．whoneededtoundergoPFNAprocedures University were intotwo as research randomly groups， enrolled patientsgrouped research，were objects．The ineach whichthe weretreatedwith with30caSeS Treatment，inpatients group：theGroup of notoginsenq intravenousinfusionXueshuantong PharmaceuticalGroup saponins，Wuzhou each the date，once with250mlofnormalsaline time，fromoperating the whichthe were fortwo Control，in patientsinjected weeks；andGroup daily，lasting molecular with10w weightheparin L删tt ． Hongri subcutaneously the each from date，once time，also operating Co．Ltd．Tianjin．3000U ，3000U time a fortwoweeks．Fourclottingindices，includingprothrombin day，lasting thromboplastin PT ，activatedpartial threebonemetabolic thetotal D—dimer DDI ，and markers，including amino-terminalextension of type I propeptide degradation procollagen T-PINP ，beta—collagen weredetectedbeforeandafterthe N-middleosteocalcin N—MID administrationsofthetwo inicalexaminatio