活血利湿法配合不同剂量的纤溶酶治疗急性期下肢深静脉血栓形成临床视察.pdfVIP

提 要 目的：观察分析活血利湿法配合不同剂量纤溶酶治疗急性下肢深静脉血栓形成的 临床疗效。 方法：分析我科近 2 年收治的发病 14 天以内的急性下肢深静脉血栓形成住院患 者 60 例，根据治疗方案不同分为纤溶酶（200IU）20 例【A 组】，纤溶酶（200IU） 配合中医疗法20例【B组】，纤溶酶（100IU）配合中医疗法20例【C组】。通过治 疗前后疗效的统计分析，比较三组之间疗效的差异性；并从性别、年龄、症状体征、 实验室检查、影像学检查等方面，分析比较三组之间的差异性。 结果：三组患者治疗前后症状，体征均有明显改善。60例患者中治愈29例，明 显好转 21 例，总有效率在 90%以上。通过对 D-dimmer、PT、APTT、Fib 及血小板等 指标在治疗过程中的观察，初步肯定了Fib在血栓治疗过程中对药物剂量选择的参考 作用。通过对比进一步明确了中医的活血利湿法对本病在早期改善肿胀，疼痛等方面 的作用。 结论：1.活血利湿法对急性期下肢深静脉血栓形成的肿胀，疼痛的改善作用显著。 2.纤溶酶对急性下肢深静脉血栓的治疗作用明确。 3.早期增加纤溶酶用量可加快纤维蛋白原转化。 关键词 急性下肢深静脉血栓形成；活血利湿；纤溶酶；治疗 The Research of Chinese Traditional Bolt-dissolving and Diureses With the Different Doses fibrinolytic enzyme ′s Treatment on ADVT Speciality: Surgery of peripheral vascular Author: Li Yuan Ming Tutor:Prof.Zhou Tao Abstract Objective: To observe the clinical effect of bolt-dissolving and diureses’ method with different doses fibrinolytic enzyme in the treatment of ADVT . Methods: analyse nearly 2 years in our department were within 14 days of the onset of acute lower extremity deep venous thrombosis with 60 cases, according to the different treatment scheme is divided into fibrinolytic enzyme (200 iu) 20 cases of the group 【A 】, with traditional Chinese medicine therapy in 20 cases of group 【B 】 , fibrinolytic enzyme (100iu ) combined with traditional Chinese medicine therapy in 20 cases of group 【C 】. Through the statistical analysis of the effects before and after treatment, compared among the three groups. And from the gender, age, occupation, laboratory examination and imaging examination, comparative analysis to the differences between the three groups. Results: the three groups of patients before and after treatment symptoms, signs, a