中医药为主治疗肾病综合征合并下肢静脉血栓42例临床观察

目的探讨中医药治疗肾病综合征合并下肢静脉血栓的临床疗效.方法本观察采用自身前后对照的方法,观察了中医药为主(静脉点滴低分子右旋糖酐加川芎嗪、口服通脉口服液、氦-氖激光血管内照射、口服中药桃红四物汤加减)治疗42例肾病综合征合并下肢静脉血栓患者的临床疗效.结果42例患者中,临床痊愈18例,显效14例,有效10例,总有效率达100%.治疗前后24 h尿蛋白、血液流变学、血浆凝血酶原时间等变化比较有统计学意义(P＜0.05,P＜0.01).结论中医药在治疗血栓并发症方面疗效显著,有良好的活血化瘀效果.

Treatment of 42 Cases of Nephrotic Syndrome Combined Thrombus of Lower Limb Veins with Chinese Medicine Mainly

Objective To investigate the curative effect of Chinese medicine on nephrotic syndrome combined thrombus of lower limb veins. Method The auto-control was used to observe the curative effect of the treatment with Chinese medicine mainly (including intravenous low-molecular dextran and ligustrazine drip, Tongmai Oral Liquid, radiation of helium-neon laser in blood vessel, and Tiaohongsiwu Decoction and its modifications orally) on 42 cases of nephrotic syndrome combined thrombus of lower limb veins. Result There were 18 cases cured, 14 with obvious curative effect and 10 with effect. The total effective rate was 100 %. The comparison had a statistic significance (P<0.05, P<0.01) in the changes of urinary protein in 24 hours, hemorrheology and plasma prothrombin time (PPT) before and after the treatment. Conclusion Chinese medicine has a significant curative effect on thrombus complication with a good result of activating blood to resolve stagnation.