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Yiqi Huoxue Tongluo Decoction Combined With Lowmolecular Heparin Calcium To Reduce Thebone Clinical Observation Of Intertrochanteric Fracture Of Lowerextremitydeep Lowerextremitydeep Venous Thrombosisafter Operation

Posted on:2016-10-20Degree:MasterType:Thesis
Country:ChinaCandidate:S L LiFull Text:PDF
GTID:2284330467981781Subject:Fractures of TCM science
Abstract/Summary:PDF Full Text Request
Objective:Self Qi observed Huoxuetongluo soup joint low molecular weight heparin reduce intertrochanteric fracture of deep venous thrombosis (DVT) in the clinical efficacy analysis Tang Qi Huoxuetongluo clinical safety for clinical further provide a theoretical basis for the promotion.Method:80cases of femur in the elderly patients with intertrochanteric fracture of included studies using randomized grouping method, divided into treatment group and control group. Control group:after12-24hours of subcutaneous given conventional dose (4100u) of low molecular weight heparin calcium; subcutaneous injection. Once a day, first days and fourteenth days after surgery. Test group:Yiqi Huoxue Tongluo Decoction,2times a day, one200ML. On the first postoperative day to the fourteenth day taking; low molecular weight heparin calcium in12-24hours after surgery treated with conventional dose (4100u) subcutaneous injection. Once a day, first days and fourteenth days after surgery. Two groups of patients admitted to hospital were performed with conventional examination, all patients with peri operation period using a unified treatment measures. The amount of bleeding, postoperative drainage volume of statistics, five items of blood coagulation and leg circumference difference (and preoperative ratio), pain, ecchymosis area and lower limbs arteriovenous color Doppler ultrasound examination, observe whether DVT occurs. All data are used SPSS19.0statistical software for analysis.Results:Experimental group than in the postoperative limb pain, swelling and bruising area in the control group, the difference was statistically significant; postoperative drainage test group than the control group, the difference was statistically significant; the experimental group in the clotting of five better than the control group, the difference was statistically significant. According to the diagnostic criteria of deep venous formed after the emergence of two groups of nine cases of DVT patients, the rate was23.4%, thrombosis occurred in the affected limb. Seven patients in the control group, the rate was18.4%, the test group two cases, the rate was5%. After statistical analysis, test group than the control group in the incidence of thrombosis, the difference was statistically significant. All cases of pulmonary embolism (PTE) and deaths occurred. All patients admitted to hospital with liver and kidney function test results after the statistical analysis, no significant difference in all patients with no adverse reactions.Conclusion! Self Huoxuetongluo Tang Qi low molecular weight heparin can significantly reduce the incidence of deep vein thrombosis, with a significant anticoagulant effect than the simple application of low molecular weight heparin;. Qi Huoxuetongluo soup with low molecular weight heparin can reduce limb pain, swelling and bruising and postoperative drainage area, to reduce the number of postoperative complications; the two groups did not occur in patients with systemic and local adverse hair should, Qi Tang combined with low Huoxuetongluo molecular weight heparin is safer clinical drug.
Keywords/Search Tags:Yiqi Huoxue Tongluo Decoction, Femoral intertrochanteric fracture, Deep venous thrombosis
PDF Full Text Request
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