Traditional Chinese Medicine With Hip Arthroplasty In The Treatment Of Hip Disease Clinical Research

Objective: Through clinical observation Modified of Buyanghuanwu decoction to bloodrheology artificial after hip arthroplasty, the influence of blood coagulation degreeindex and the clinical curative effect of evaluation, discusses Yiqi huoxue type oftraditional Chinese medicine (TCM) in the mechanism of action and clinical curativeeffect after hip arthroplasty.Methods: Select rows hip replacement the research standard of50patients, randomlydivided into two groups, treatment group24cases, the second day after hip arthroplastyand peros Buyanghaiwu decoction subtraction, the control group, The control group26cases, simply take the hip arthroplasty, two groups of cases were givenanti-inflammatory, rehydration and other symptomatic treatment. Compare two groupsof preoperative and postoperative1thday (medicine before) and14thday after ofhemorheology index (whole blood high shear viscosity, plasma viscosity, erythrocytesedimentation rate, fibrinogen), D-dimer and plasma prothrombin time (PT), thrombintime (TT), international standardization ratio (INR) and so on blood coagulation indexesand the the influence of Chinese traditional medicine group on postoperative limbswelling. According to the standard, the diagnosis of lower extremity deep venousthrombosis after formed under the highly suspected DVT, immediately with lowerextremity deep venous colour to exceed examination,7thday postoperatively in patientswith asymptomatic with lower extremity venous colour to exceed examination, and toobserve the incidence of postoperative DVT.Result: Two groups of patients with preoperative basic situation there was no significantdifference after statistics processing (P>0.05); Two groups of cases of postoperative1thday TT, INR, PT are significant difference compared with preoperative (P<0.05orP<0.01), significantly reduced. Whole blood high shear viscosity, plasma viscosity, erythrocyte sedimentation rate, fibrinogen compared with preoperative were significantdifference (P<0.05or P<0.01), significantly increased; The treatment grouppostoperative14thday whole blood high shear viscosity, plasma viscosity, erythrocytesedimentation rate, fibrinogen compared with1thday were significant difference(P<0.01or P<0.05), significant decrease, compared with TT, INR, PT have significantdifference (P<0.01), significantly extended. The control group postoperative14thdaywhole blood high shear viscosity, plasma viscosity, erythrocyte sedimentation rate,fibrinogen, TT, INR, PT is improved compared with postoperative1thday,Compared thesignificant difference between groups (P<0.01or P<0.05); The treatment group andcontrol group in postoperative1thday and preoperative D-dimer content is all havesignificant difference(P<0.01), significantly increased, postoperative14thday D-dimerare declined, comparison between groups was statistically significant (P<0.05); Of50cases of postoperative lower limb venous colour to exceed examination, neither DVT,two groups have no statistical significance (P>0.05); Two groups of postoperative1thday limb all have different degree of swelling, Two groups of cross-section diameterpostoperative7threceded compared with postoperative1thday, the chinese medicinegroup obvious regression (P<0.01), Compare the differences between groups wasstatistically significan (P<0.05).Conclution: Chinese medicine can effectively improve blood high condensation degreeafter hip replacement and blood rheological state, effective prevention and treatment oflower extremity deep vein thrombosis, eliminate after hip arthroplasty, improve theclinical curative effect, worthy of clinical popularization and application.