| 静脉血栓方联合艾灸疗法预防膝关节置换术后下肢深静脉血栓随机对照研究 |
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| 引用本文： | 谢梦. 静脉血栓方联合艾灸疗法预防膝关节置换术后下肢深静脉血栓随机对照研究[J]. 实用中西医结合临床, 2024, 24(16) |
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| 作者姓名： | 谢梦 |
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| 作者单位： | 河南省洛阳正骨医院（河南省骨科医院） |
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| 摘 要： | 目的 探究静脉血栓方联合艾灸疗法预防膝关节置换术后下肢深静脉血栓效果。方法 研究共计纳入93例膝关节置换术后下肢深静脉血栓分为对照组与观察组,分组方法为随机数字表法,给予对照组患者（46例）术后常规护理,观察组患者（47例）在常规干预基础上进行静脉血栓方联合艾灸疗法干预,时间14d,数据比较：患者下肢深静脉血栓发生率、干预前后中医证候总积分变化及凝血功能指标、炎性因子指标变化、患侧大腿与小腿周长变化、术后3d、术后7d疼痛评分（视觉模拟疼痛评分法,VAS）、不良反应。结果 对照组患者下肢深静脉血栓率为19.57%,观察组为4.26%,p＜0.05;两组患者干预前,中医证候总积分、活化部分凝血酶时间（APTT）与凝血酶时间（TT）、纤维蛋白原（FIB）、D-二聚体（D-D）等凝血功能指标与C反应蛋白（CRP）等炎性因子指标、患侧大腿与小腿周长等指标比较,p＞0.05,两组患者干预后的中医证候总积分、TT、APTT、FIB、D-D、CRP、患侧大腿与小腿周长等指标均改善,观察组优于对照组,p＜0.05;观察组患者术后3d以及术后7d的VAS评分均比对照组低,p＜0.05;两组均未见严重不良反应发生。结论 静脉血栓方联合艾灸疗法可较好降低膝关节置换术后下肢深静脉血栓发生率,患者术后恢复好,值得应用。
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| 关 键 词： | 膝关节置换术 下肢深静脉血栓 静脉血栓方 艾灸疗法 中医证候总积分 凝血指标 |
| 收稿时间： | 2023-08-11 |
| 修稿时间： | 2024-05-31 |
A randomized controlled study of venous thrombosis formula combined with moxibustion therapy in prevention of deep venous thrombosis of lower extremity after knee replacement |
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| Abstract: | Objective To explore the effect of venous thrombosis formula combined with moxibustion therapy on prevention of deep venous thrombosis of lower limbs after knee replacement.Methods A total of 93 patients with deep vein thrombosis of lower limbs after knee replacement were included in the study and divided into control group and observation group. The grouping method was random number table method. Patients in the control group (46 cases) were given routine postoperative care, while patients in the observation group (47 cases) were given venous thrombosis prescription combined with moxibustion therapy on the basis of routine intervention for 14 days. The incidence of deep vein thrombosis in the lower extremities of the patients, changes in the total score of TCM syndromes before and after the intervention, changes in coagulation function indicators, inflammatory factor indicators, changes in the circumference of the affected thigh and calf, postoperative pain score (visual analogue pain scale, VAS) at 3d and 7d, and adverse reactions.Results The rate of lower extremity deep vein thrombosis was 19.57% in control group and 4.26% in observation group (p < 0.05). Before intervention, the total score of TCM syndromes, activated partial thrombin time (APTT) and thrombin time (TT), fibrinogen (FIB), D-dimer (D-D) and other coagulation function indexes were compared with inflammatory factors such as C-reactive protein (CRP), and the circumference of the affected thigh and calf in the two groups, p > 0.05. After intervention, the total TCM syndrome score, TT, APTT, FIB, D-D, CRP, the circumference of thigh and calf on the affected side were improved in both groups, and the observation group was better than the control group (p < 0.05). The VAS scores of the observation group were lower than those of the control group at 3d and 7d after surgery, p < 0.05; No serious adverse reactions were observed in both groups.Conclusion Venous Xuanxuan prescription combined with moxibustion therapy can reduce the incidence of lower extremity deep vein thrombosis after knee replacement, and the patients recovered well after surgery, which is worthy of application. |
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| Keywords: | Knee replacement Deep venous thrombosis of lower extremities Venous thrombosis prescription Moxibustion therapy TCM syndrome total score Blood coagulation indexes |
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