大隐静脉曲术后早期中西医结合治疗68例临床分析.docVIP

大隐静脉曲张术后早期中西医结合治疗68例临床分析 　　[摘要] 目的 评价中医结合手术治疗大隐静脉曲张与单纯手术治疗大隐静脉曲张的临床疗效比较。 方法 整群选取该院2013年2月―2015年2月期间收治的68例（79条患肢）大隐静脉曲张患者，随机分为中西结合治疗组34例（42条患肢），对照组34例（37条患肢）， 结果 术后7 d治疗组患肢的疼痛、肿胀情况好于对照组（χ2=5.3652，P=0.0205）；后经3个月随访，两组患者皮下瘀斑、卵圆窝处皮下血肿无明显差异（χ2=3.1488，P=0.0759），不过治疗组患者恢复情况明显略好于对照组。 结论 中西医结合治疗大隐静脉曲张，在术后早期有利于疼痛、肿胀的减轻、溃疡面愈合，具有操作简单、恢复迅速的优点。 中国论文网 /6/viewhtm　　[关键词] 臁疮；中西医结合治疗；八珍汤加减；大隐静脉曲张；早期；点式小切口 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）09（b）-0163-03 　　[Abstract] Objective Evaluation of traditional Chinese medicine combined with surgical treatment of varicose of great saphenous vein and simple operation treatment of the clinical efficacy of varicosis of great saphenous vein. Methods Select the hospital in 2013 February 2015 February admitted during the period of 68 cases （79 limbs） of varicose great saphenous vein patients were randomly assigned for integrated traditional Chinese and Western medicine treatment group（34 cases）（42 limbs） and the control group of 34 cases （37 limbs）. Results After 7 days treatment group， limb pain， swelling of the situation better than that of the control group （χ2=5.3652，P = 0.0205）. After followed up for 3 months， two groups of patients with subcutaneous ecchymosis， egg circle nest of subcutaneous hematoma， there was no significant difference in the χ2=3.1488，P=0.0759. But the patients in the treatment group were recovery was slightly better than that of the control group. Conclusion The combination of traditional Chinese and Western medicine treatment of varicosis of great saphenous vein in postoperative early to edema， pain， loss， ulcer healing and has the advantages of simple operation and recovered rapidly from the. 　　[Key words] Ecthyma； Treatment of traditional Chinese and Western medicine； Bazhen decoction； Varicose veins； Early；Point type small incision 　　大隐静脉曲张属周围血管科常见疾病，该病病理为大隐静脉血循环发生异常，导致其浅表静脉呈过度扩张[1]。该研究回顾分析该院2013年2月―2015年2月收治大隐静脉曲张合并溃疡患者临床资料，采用手术配合西药汤剂治疗，取得显著疗效，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　整群选取该院收治的68例大隐静脉曲张患者为本次研究