温通法治疗下肢血栓性浅静脉炎慢性期(瘀阻脉络证)的临床观察

目的:观察温通法治疗下肢血栓性浅静脉炎慢性期的临床疗效以及评价其安全性。方法:将2012年1月至2014年1月间我科收治的下肢血栓性浅静脉炎患者采用随机数字表法分成治疗组、对照组,各40例,分别给予口服救生汤、活血通脉汤。对2组总体疗效、临床症状、体征、下肢静脉超声的变化进行评价,同时观察有无不良反应。结果:治疗组治愈率76.36%,对照组治愈率51.35%。经统计学分析,2组治疗前后各阶段症状、体征、下肢静脉超声结果均有改善(P0.05),2组间疗效比较差异有统计学意义(P0.05)。结论:与化瘀通络法相比,温通法治疗下肢血栓性浅静脉炎慢性期治愈率高、复发率低,对下肢皮肤红肿、疼痛、条索、硬结、色素沉着改善明显,该治法安全,有效。

Observation of the Efficacy of Warm and Circulate Therapy in Treating Superficial Shrombophlebitis of Lower Extremity

To observe the clinical efficacy and safety of warm and circulate therapy in treating superficial thrombophlebitis of lower extremity. Methods:Eighty patients with superficial thrombophlebitis of lower extremity were randomly divided into treatment group (Jiusheng decoction) and control group (Huoxue Tongmai decoction) in Ulcerous Vascular Surgical Department from January 2012 to January 2014. The changes of curative effect, clinical symptoms, signs, and Doppler ultrasound were observed. Results:The cure rates were 76.36% and 51.35% in treatment group and control group respectively. Compared with pre-treatment, the clinical symptoms, signs, and the results of Doppler ultrasound in two groups were significantly improved (P<0.05), and these results in treatment group were significantly improved compared with control group (P<0.05). Conclusion:Compared with disperse blood stagnation and dredge collateral method, warm and circulate therapy for treating superficial thrombophlebitis of lower extremity has a higher cure rate and a lower recurrence rate, and can provide significant efficacy in reducing the level of inflammation, relieving pain, decreasing the size of scleroma and healing hyperpigmentation. This treatment was feasible and safe.